Dr. Justin Briones, MD
55 Lake Ave N, Department of Emergency Medicine, Worcester, MA 01655 • +1-746-555-5287
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Worcester Percentiles
NPI #1104024017 • CBSA Regional • Emergency Medicine
CMS Medicare Part B utilization records credit Dr. Justin Briones (MD, NPI 1104024017) at 55 Lake Ave N, Department of Emergency Medicine in Worcester with 734 annual clinical services (637 beneficiaries), corresponding to a -0.34σ regional deviation and mid-cohort balanced caseload (38.1th Worcester percentile) with sub-specialty concentration in 27 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1104024017 highlights 330 annual claims for 99214 (38.1th Worcester percentile; $275–$377 self-pay corridor) plus 191 encounters under 99213 and 95 under 93000.
Self-pay new patient consultations with Dr. Briones (CPT 99204 GPCI-adjusted benchmark) estimate around $224.00 (community reported average: $224.00) with hybrid in-clinic and telehealth video consults, 9-minute average reception wait, and a 4.76/5 modern protocol openness score across 19 patient logs.
Clinical background for Dr. Briones (MD, NPI #1104024017) includes accredited doctoral training (2014, 12 yrs in practice) and virtual + in-office availability across MA.
Compared against Worcester, MA Emergency Medicine peers
734 annual services across 637 beneficiaries
Standard deviations from MA Emergency Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 330 | 38.1th | $275 – $377 |
| 99213 | Established Preventive & Chronic Care Visit | 191 | 38.1th | $211 – $289 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 95 | 39.1th | $101 – $138 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 73 | 35.1th | $323 – $443 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 44 | 39.1th | $383 – $525 |
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Dr. Justin Briones, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Briones National Provider Identifier | NPI #1104024017 (MD) | CMS NPPES Registry (01655) |
| Dr. Briones Worcester CMS Volume Rank | 38.10th Pct (734 CMS svcs; Z -0.342σ) | CMS Medicare Part B (MA Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Worcester, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 9 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.76/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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