Dr. Paul Dufault, MD
40 Converse St, Worcester, MA 01605 • +1-341-555-8845
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Worcester Percentiles
NPI #1174562177 • CBSA Regional • Internal Medicine
Dr. Paul Dufault, MD (NPI #1174562177) practices Internal Medicine in Worcester, MA (01605) with sub-specialty concentration in 18 Active CMS HCPCS Codes, recording 1,299 annual CMS services across 243 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (69.77th Worcester percentile) (-0.20σ vs MA state mean, 48.34th statewide percentile).
Medicare Part B line-item claims for Dr. Paul Dufault (01605) place 99214 at the top of the practice ledger (585 yearly units, 69.77th metro rank), rounded out by 99213 and 93000.
Cash-pay intake data for NPI 1174562177 (40 Converse St, Worcester) indicates $224.00 typical out-of-pocket visit spend against a $224.00 locality benchmark, paired with 19-minute average reception wait and 4.74/5 biomarker openness.
From 40 Converse St in Worcester (+1-341-555-8845), Dr. Dufault, MD (11-year clinical track record) delivers 18 Active CMS HCPCS Codes care.
Compared against Worcester, MA Internal Medicine peers
1,299 annual services across 243 beneficiaries
Standard deviations from MA Internal 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 | 585 | 69.77th | $142 – $195 |
| 99213 | Established Preventive & Chronic Care Visit | 338 | 68.77th | $109 – $149 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 169 | 71.77th | $52 – $71 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 130 | 74.77th | $167 – $229 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 78 | 64.77th | $198 – $271 |
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Dr. Paul Dufault, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Dufault National Provider Identifier | NPI #1174562177 (MD) | CMS NPPES Registry (01605) |
| Dr. Dufault Worcester CMS Volume Rank | 69.77th Pct (1,299 CMS svcs; Z -0.197σ) | CMS Medicare Part B (MA Internal 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 • 19 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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