Dr. Kenneth Ralto, MD
55 Lake Ave N, Worcester, MA 01655 • +1-746-555-5970
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Worcester Percentiles
NPI #1770877193 • CBSA Regional • Nephrology
Statistical peer benchmarking across MA Nephrology providers positions Dr. Kenneth Ralto, MD in Worcester at -0.25σ (60.87th city percentile / 52.17th state percentile, 384 Medicare beneficiaries), with clinical focus spanning 28 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 55 Lake Ave N shows Dr. Kenneth Ralto's primary concentration in Chronic Kidney Disease eGFR, uACR & Electrolyte Management (code 99214: 717x/yr, 60.87th local percentile) alongside Monthly Adult ESRD Renal Replacement Oversight (90960: 329x/yr, $350–$479).
Direct cash-pay transparency modeling sets Dr. Ralto's baseline new-consult rate near $224.00 in Worcester, MA (cash-pay accepted, in-person clinic visits only, 11-minute average reception wait).
Credentialed as an MD specialist with 31 years post-graduation experience since completing medical school at an LCME/COCA institution (1995), Dr. Ralto coordinates 28 Active CMS HCPCS Codes workups from 55 Lake Ave N (+1-746-555-5970).
Compared against Worcester, MA Nephrology peers
1,494 annual services across 384 beneficiaries
Standard deviations from MA Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 717 | 60.87th | $175 – $240 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 329 | 59.87th | $350 – $479 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 269 | 59.87th | $255 – $350 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 179 | 58.87th | $240 – $330 |
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Dr. Kenneth Ralto, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ralto National Provider Identifier | NPI #1770877193 (MD) | CMS NPPES Registry (01655) |
| Dr. Ralto Worcester CMS Volume Rank | 60.87th Pct (1,494 CMS svcs; Z -0.251σ) | CMS Medicare Part B (MA Nephrology) |
| 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 • 11 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.72/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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