Dr. Donovan Polack, MD
1265 Graham Rd Ste 1, Florissant, MO 63031 • +1-687-555-9812
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Florissant Percentiles
NPI #1659324465 • CBSA Regional • Internal Medicine
Operating out of Florissant, MO (1265 Graham Rd Ste 1), Internal Medicine clinician Dr. Donovan Polack, MD (accredited MD/DO training, 2003) maintains a focused low-volume boutique caseload (10th Florissant percentile) (1.95th MO percentile; Z-score -0.17σ across 644 documented services) with sub-specialty concentration in 13 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1659324465 highlights 290 annual claims for 99214 (12th Florissant percentile; $221–$303 self-pay corridor) plus 167 encounters under 99213 and 84 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Donovan Polack in Florissant (63031) face an estimated $209.00 initial evaluation fee at 1265 Graham Rd Ste 1 (hybrid in-clinic and telehealth video consults; 16-minute average reception wait; bedside manner 4.80/5 from 14 verified reports).
Spanning 23 years of clinical practice following 2003 graduation from medical training, Dr. Donovan Polack integrates 13 Active CMS HCPCS Codes diagnostics for Florissant metro patients.
Compared against Florissant, MO Internal Medicine peers
644 annual services across 132 beneficiaries
Standard deviations from MO 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 | 290 | 12th | $221 – $303 |
| 99213 | Established Preventive & Chronic Care Visit | 167 | 12th | $169 – $232 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 84 | 12th | $81 – $111 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 64 | 12th | $260 – $356 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 39 | 12th | $308 – $422 |
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Dr. Donovan Polack, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Polack National Provider Identifier | NPI #1659324465 (MD) | CMS NPPES Registry (63031) |
| Dr. Polack Florissant CMS Volume Rank | 10.00th Pct (644 CMS svcs; Z -0.172σ) | CMS Medicare Part B (MO Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Florissant, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.91/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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