Dr. Kathryn Edmiston, MD
55 Lake Ave N, Worcester, MA 01655 • +1-746-555-5874
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Worcester Percentiles
NPI #1306820790 • CBSA Regional • Hematology-Oncology
Anchored in Worcester, MA 01655, Dr. Kathryn Edmiston, MD (NPI 1306820790) logged 700 annual procedures (focused low-volume boutique caseload (23.53th Worcester percentile), 9.71th MA percentile, -0.29σ) with sub-specialty concentration in 10 Active CMS HCPCS Codes.
Procedural volume for Dr. Edmiston is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 315 annual services, $150–$206 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 182/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 91/yr).
For out-of-network patients contacting +1-746-555-5874, Dr. Edmiston's practice posts a $224.00 GPCI self-pay consult estimate ($224.00 patient-logged median, 4.53/5 composite reality score over 8 submissions).
From 55 Lake Ave N in Worcester (+1-746-555-5874), Dr. Edmiston, MD (20-year clinical track record) delivers 10 Active CMS HCPCS Codes care.
Compared against Worcester, MA Hematology-Oncology peers
700 annual services across 340 beneficiaries
Standard deviations from MA Hematology-Oncology 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 | 315 | 23.53th | $150 – $206 |
| 99213 | Established Preventive & Chronic Care Visit | 182 | 20.53th | $115 – $158 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 91 | 27.53th | $55 – $75 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 70 | 28.53th | $176 – $242 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 42 | 28.53th | $209 – $287 |
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Dr. Kathryn Edmiston, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Edmiston National Provider Identifier | NPI #1306820790 (MD) | CMS NPPES Registry (01655) |
| Dr. Edmiston Worcester CMS Volume Rank | 23.53th Pct (700 CMS svcs; Z -0.294σ) | CMS Medicare Part B (MA Hematology-Oncology) |
| 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 • 20 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.82/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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