Dr. Loren Decarlo, DO
117 S Main St, Capac, MI 48014 • +1-655-555-5074
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Capac Percentiles
NPI #1629003462 • CBSA Regional • Family Practice
Within the Capac, MI (CBSA local) Family Practice cohort, Dr. Loren Decarlo, DO with sub-specialty concentration in 78 Active CMS HCPCS Codes ranks at the 50th municipal percentile and 78.64th MI percentile (+0.14σ Z-score) based on 2,702 billed procedures for 290 patients.
Granular CPT/HCPCS billing distribution at 117 S Main St shows Dr. Loren Decarlo's primary concentration in Comprehensive Primary Care & Chronic Protocol Management (code 99214: 1034x/yr, 50th local percentile) alongside Focused Acute & Preventive Primary Care Evaluation (99213: 763x/yr, $58–$80).
Uninsured and high-deductible cash patients visiting Dr. Loren Decarlo in Capac (48014) face an estimated $209.00 initial evaluation fee at 117 S Main St (in-person clinic visits only; 14-minute average reception wait; bedside manner 4.69/5 from 24 verified reports).
From 117 S Main St in Capac (+1-655-555-5074), Dr. Decarlo, DO (22-year clinical track record) delivers 78 Active CMS HCPCS Codes care.
Compared against Capac, MI Family Practice peers
2,702 annual services across 290 beneficiaries
Standard deviations from MI 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 | 1,034 | 50th | $76 – $104 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 763 | 52th | $58 – $80 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 295 | 55th | $87 – $119 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 221 | 47th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 148 | 49th | $104 – $143 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (78 HCPCS billing breadth) | 241 | 50th | $68 – $99 |
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Dr. Loren Decarlo, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Decarlo National Provider Identifier | NPI #1629003462 (DO) | CMS NPPES Registry (48014) |
| Dr. Decarlo Capac CMS Volume Rank | 50.00th Pct (2,702 CMS svcs; Z +0.140σ) | CMS Medicare Part B (MI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Capac, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.61/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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