Dr. Mark Fallen, MD
6525 France Ave S, Suite 200, Edina, MN 55435 • +1-922-555-7144
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Edina Percentiles
NPI #1699789719 • CBSA Regional • Urology
Dr. Mark Fallen, MD (NPI #1699789719) practices Urology in Edina, MN (55435) with sub-specialty concentration in 93 Active CMS HCPCS Codes, recording 5,294 annual CMS services across 423 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (46.67th Edina percentile) (+0.07σ vs MN state mean, 71.56th statewide percentile).
Dr. Fallen's longitudinal care intensity (12.5 billed units per patient across 423 individuals) centers on 99214 (743 annual units) and 51798 ($27–$42 cash range).
Direct cash-pay transparency modeling sets Dr. Fallen's baseline new-consult rate near $209.00 in Edina, MN (cash-pay accepted, hybrid in-clinic and telehealth video consults, 19-minute average reception wait).
Clinical background for Dr. Fallen (MD, NPI #1699789719) includes accredited doctoral training (2005, 21 yrs in practice) and virtual + in-office availability across MN.
Compared against Edina, MN Urology peers
5,294 annual services across 423 beneficiaries
Standard deviations from MN Urology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Urologic, BPH & Androgen Evaluation | 743 | 46.67th | $64 – $88 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 557 | 49.67th | $27 – $42 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 351 | 41.67th | $131 – $179 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 248 | 43.67th | $36 – $51 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 165 | 46.67th | $90 – $123 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (93 HCPCS billing breadth) | 3,230 | 46.67th | $58 – $84 |
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Dr. Mark Fallen, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fallen National Provider Identifier | NPI #1699789719 (MD) | CMS NPPES Registry (55435) |
| Dr. Fallen Edina CMS Volume Rank | 46.67th Pct (5,294 CMS svcs; Z +0.073σ) | CMS Medicare Part B (MN Urology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Edina, MN) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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