Dr. Kenneth Sibila, MD
7801 York Rd, Suite 102, Towson, MD 21204 • +1-937-555-9563
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Towson Percentiles
NPI #1386615185 • CBSA Regional • Family Practice
Within the Towson, MD (CBSA local) Family Practice cohort, Dr. Kenneth Sibila, MD with sub-specialty concentration in 33 Active CMS HCPCS Codes ranks at the 71.43th municipal percentile and 68.94th MD percentile (-0.06σ Z-score) based on 2,323 billed procedures for 282 patients.
Among 6 tracked CMS fee-schedule codes for Dr. Sibila (averaging 8.2 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 28% of tracked volume (653 encounters), paired with 99213 (482x).
Direct cash-pay transparency modeling sets Dr. Sibila's baseline new-consult rate near $209.00 in Towson, MD (cash-pay accepted, hybrid in-clinic and telehealth video consults, 15-minute average reception wait).
From 7801 York Rd, Suite 102 in Towson (+1-937-555-9563), Dr. Sibila, MD (27-year clinical track record) delivers 33 Active CMS HCPCS Codes care.
Compared against Towson, MD Family Practice peers
2,323 annual services across 282 beneficiaries
Standard deviations from MD Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 653 | 71.43th | $91 – $124 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 482 | 70.43th | $69 – $95 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 186 | 76.43th | $104 – $142 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 140 | 75.43th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 93 | 74.43th | $124 – $170 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (33 HCPCS billing breadth) | 769 | 71.43th | $82 – $119 |
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Dr. Kenneth Sibila, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sibila National Provider Identifier | NPI #1386615185 (MD) | CMS NPPES Registry (21204) |
| Dr. Sibila Towson CMS Volume Rank | 71.43th Pct (2,323 CMS svcs; Z -0.056σ) | CMS Medicare Part B (MD Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Towson, MD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.54/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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