Dr. Richard Irwin, MD
55 Lake Ave N, Department of Pulmonary Medicine, Worcester, MA 01655 • +1-746-555-4485
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Worcester Percentiles
NPI #1619950722 • CBSA Regional • Pulmonary Disease
Within the Worcester, MA (CBSA local) Pulmonary Disease cohort, Dr. Richard Irwin, MD with sub-specialty concentration in 9 Active CMS HCPCS Codes ranks at the 15.79th municipal percentile and 11.24th MA percentile (-0.85σ Z-score) based on 698 billed procedures for 133 patients.
Dr. Irwin's longitudinal care intensity (5.2 billed units per patient across 133 individuals) centers on 99214 (286 annual units) and 94060 ($120–$164 cash range).
At 55 Lake Ave N, Department of Pulmonary Medicine (01655), Dr. Richard Irwin, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$224.00 per new consult (4.84/5 bedside rating).
Credentialed as an MD specialist with 22 years post-graduation experience since completing medical school at an LCME/COCA institution (2004), Dr. Irwin coordinates 9 Active CMS HCPCS Codes workups from 55 Lake Ave N, Department of Pulmonary Medicine (+1-746-555-4485).
Compared against Worcester, MA Pulmonary Disease peers
698 annual services across 133 beneficiaries
Standard deviations from MA Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 286 | 15.79th | $184 – $252 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 161 | 12th | $120 – $164 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 119 | 12th | $109 – $149 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 77 | 14.79th | $335 – $460 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 56 | 20.79th | $259 – $354 |
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Dr. Richard Irwin, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Irwin National Provider Identifier | NPI #1619950722 (MD) | CMS NPPES Registry (01655) |
| Dr. Irwin Worcester CMS Volume Rank | 15.79th Pct (698 CMS svcs; Z -0.853σ) | CMS Medicare Part B (MA Pulmonary Disease) |
| 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 | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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