Dr. Suzanne Gilman, MD
5 Neponset St, Worcester, MA 01606 • +1-293-555-6921
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Worcester Percentiles
NPI #1295029338 • CBSA Regional • Rheumatology
Within the Worcester, MA (CBSA local) Rheumatology cohort, Dr. Suzanne Gilman, MD with sub-specialty concentration in 32 Active CMS HCPCS Codes ranks at the 62.5th municipal percentile and 56.7th MA percentile (-0.41σ Z-score) based on 3,090 billed procedures for 208 patients.
Procedural volume for Dr. Gilman is led by HCPCS 99214 (Autoimmune Arthritis & Biologic/DMARD Safety Evaluation — 233 annual services, $49–$67 GPCI cash estimate), followed by CPT 20610 (Large Joint Synovial Arthrocentesis or Corticosteroid Injection, 106/yr) and CPT 96413 (Intravenous Biologic Infusion Therapy (First Hour), 76/yr).
Cash-pay intake data for NPI 1295029338 (5 Neponset 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 4.50/5 biomarker openness.
Patients evaluating Dr. Suzanne Gilman in ZIP 01606 note 32 years of post-doctoral tenure (null, 1994) alongside 14.9 annual CMS procedures per patient.
Compared against Worcester, MA Rheumatology peers
3,090 annual services across 208 beneficiaries
Standard deviations from MA Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 233 | 62.5th | $49 – $67 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 106 | 64.5th | $38 – $53 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 76 | 63.5th | $67 – $91 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 51 | 62.5th | $51 – $69 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 41 | 62.5th | $67 – $91 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (32 HCPCS billing breadth) | 2,583 | 62.5th | $45 – $65 |
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Dr. Suzanne Gilman, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gilman National Provider Identifier | NPI #1295029338 (MD) | CMS NPPES Registry (01606) |
| Dr. Gilman Worcester CMS Volume Rank | 62.50th Pct (3,090 CMS svcs; Z -0.414σ) | CMS Medicare Part B (MA Rheumatology) |
| 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 | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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