Dr. Matthew Braithwaite, MD
420 E 1st St, Duluth, MN 55805 • +1-386-555-5216
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Duluth Percentiles
NPI #1104280817 • CBSA Regional • Hematology-Oncology
CMS Medicare Part B utilization records credit Dr. Matthew Braithwaite (MD, NPI 1104280817) at 420 E 1st St in Duluth with 631 annual clinical services (135 beneficiaries), corresponding to a -0.56σ regional deviation and focused low-volume boutique caseload (0th Duluth percentile) with sub-specialty concentration in 14 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1104280817 highlights 284 annual claims for 99214 (12th Duluth percentile; $158–$217 self-pay corridor) plus 164 encounters under 99213 and 82 under 93000.
Direct cash-pay transparency modeling sets Dr. Braithwaite's baseline new-consult rate near $209.00 in Duluth, MN (cash-pay accepted, hybrid in-clinic and telehealth video consults, 18-minute average reception wait).
NPI registry verification (#1104280817) confirms Dr. Matthew Braithwaite's MD standing serving CBSA 55805 with a 4.71/5 patient scorecard.
Compared against Duluth, MN Hematology-Oncology peers
631 annual services across 135 beneficiaries
Standard deviations from MN Hematology-Oncology 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 | 284 | 12th | $158 – $217 |
| 99213 | Established Preventive & Chronic Care Visit | 164 | 12th | $121 – $166 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 82 | 12th | $58 – $79 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 63 | 12th | $186 – $254 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 38 | 12th | $220 – $302 |
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Dr. Matthew Braithwaite, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Braithwaite National Provider Identifier | NPI #1104280817 (MD) | CMS NPPES Registry (55805) |
| Dr. Braithwaite Duluth CMS Volume Rank | 0.00th Pct (631 CMS svcs; Z -0.555σ) | CMS Medicare Part B (MN Hematology-Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Duluth, MN) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.85/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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