Dr. Sean Lena, DO
84 Marginal Way, Portland, ME 04101 • +1-556-555-2421
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Portland Percentiles
NPI #1265895502 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across ME Internal Medicine providers positions Dr. Sean Lena, DO in Portland at -0.00σ (52.94th city percentile / 76.61th state percentile, 228 Medicare beneficiaries), with clinical focus spanning 105 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Sean Lena (04101) place 99214 at the top of the practice ledger (648 yearly units, 52.94th metro rank), rounded out by 99213 and 93000.
Uninsured and high-deductible cash patients visiting Dr. Sean Lena in Portland (04101) face an estimated $209.00 initial evaluation fee at 84 Marginal Way (in-person clinic visits only; 18-minute average reception wait; bedside manner 4.61/5 from 6 verified reports).
NPI registry verification (#1265895502) confirms Dr. Sean Lena's DO standing serving CBSA 04101 with a 4.63/5 patient scorecard.
Compared against Portland, ME Internal Medicine peers
1,674 annual services across 228 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 | 648 | 52.94th | $51 – $70 |
| 99213 | Established Preventive & Chronic Care Visit | 374 | 54.94th | $39 – $54 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 187 | 57.94th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 144 | 47.94th | $60 – $82 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 86 | 57.94th | $71 – $97 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (105 HCPCS billing breadth) | 234 | 52.94th | $46 – $67 |
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Dr. Sean Lena, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lena National Provider Identifier | NPI #1265895502 (DO) | CMS NPPES Registry (04101) |
| Dr. Lena Portland CMS Volume Rank | 52.94th Pct (1,674 CMS svcs; Z -0.003σ) | 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 • 18 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.52/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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