Dr. Paunel Grivej, MD
4400 Highland Rd, Waterford, MI 48328 • +1-723-555-2467
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Waterford Percentiles
NPI #1215986682 • CBSA Regional • Internal Medicine
Within the Waterford, MI (CBSA local) Internal Medicine cohort, Dr. Paunel Grivej, MD with sub-specialty concentration in 27 Active CMS HCPCS Codes ranks at the 22.22th municipal percentile and 45.87th MI percentile (-0.17σ Z-score) based on 1,176 billed procedures for 223 patients.
Among 6 tracked CMS fee-schedule codes for Dr. Grivej (averaging 5.3 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 39% of tracked volume (463 encounters), paired with 99213 (268x).
For out-of-network patients contacting +1-723-555-2467, Dr. Grivej's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.79/5 composite reality score over 26 submissions).
From 4400 Highland Rd in Waterford (+1-723-555-2467), Dr. Grivej, MD (20-year clinical track record) delivers 27 Active CMS HCPCS Codes care.
Compared against Waterford, MI Internal Medicine peers
1,176 annual services across 223 beneficiaries
Standard deviations from MI 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 | 463 | 22.22th | $96 – $131 |
| 99213 | Established Preventive & Chronic Care Visit | 268 | 17.22th | $73 – $100 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 134 | 19.22th | $35 – $50 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 103 | 18.22th | $112 – $154 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 62 | 18.22th | $133 – $183 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (27 HCPCS billing breadth) | 147 | 22.22th | $86 – $125 |
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Dr. Paunel Grivej, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Grivej National Provider Identifier | NPI #1215986682 (MD) | CMS NPPES Registry (48328) |
| Dr. Grivej Waterford CMS Volume Rank | 22.22th Pct (1,176 CMS svcs; Z -0.169σ) | CMS Medicare Part B (MI Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Waterford, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.91/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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