Dr. Karen Heard Cushing, MD
84 Marginal Way Ste 800, Portland, ME 04101 • +1-556-555-3733
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Portland Percentiles
NPI #1720421217 • CBSA Regional • Internal Medicine
Dr. Karen Heard Cushing, MD (NPI #1720421217) practices Internal Medicine in Portland, ME (04101) with sub-specialty concentration in 114 Active CMS HCPCS Codes, recording 3,232 annual CMS services across 265 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (79.41th Portland percentile) (+0.57σ vs ME state mean, 91.94th statewide percentile).
Medicare Part B line-item claims for Dr. Karen Heard Cushing (04101) place 99214 at the top of the practice ledger (1332 yearly units, 79.41th metro rank), rounded out by 99213 and 93000.
Self-pay new patient consultations with Dr. Heard Cushing (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 14-minute average reception wait, and a 4.57/5 modern protocol openness score across 20 patient logs.
NPI registry verification (#1720421217) confirms Dr. Karen Heard Cushing's MD standing serving CBSA 04101 with a 4.85/5 patient scorecard.
Compared against Portland, ME Internal Medicine peers
3,232 annual services across 265 beneficiaries
Standard deviations from ME 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 | 1,332 | 79.41th | $49 – $67 |
| 99213 | Established Preventive & Chronic Care Visit | 770 | 83.41th | $37 – $52 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 385 | 82.41th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 296 | 83.41th | $57 – $78 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 178 | 82.41th | $68 – $93 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (114 HCPCS billing breadth) | 272 | 79.41th | $45 – $65 |
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Dr. Karen Heard Cushing, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Heard Cushing National Provider Identifier | NPI #1720421217 (MD) | CMS NPPES Registry (04101) |
| Dr. Heard Cushing Portland CMS Volume Rank | 79.41th Pct (3,232 CMS svcs; Z +0.569σ) | CMS Medicare Part B (ME Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Portland, ME) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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