Dr. Paulo Bicalho, MD
12152 Tesson Ferry Rd, Saint Louis, MO 63128 • +1-344-555-3870
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Saint Louis Percentiles
NPI #1487606810 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across MO Orthopedic Surgery providers positions Dr. Paulo Bicalho, MD in Saint Louis at +0.21σ (83.95th city percentile / 79.93th state percentile, 215 Medicare beneficiaries), with clinical focus spanning 60 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1487606810 highlights 247 annual claims for 99213 (83.95th Saint Louis percentile; $35–$50 self-pay corridor) plus 185 encounters under 20610 and 130 under 73562.
Uninsured and high-deductible cash patients visiting Dr. Paulo Bicalho in Saint Louis (63128) face an estimated $209.00 initial evaluation fee at 12152 Tesson Ferry Rd (hybrid in-clinic and telehealth video consults; 11-minute average reception wait; bedside manner 4.81/5 from 23 verified reports).
NPI registry verification (#1487606810) confirms Dr. Paulo Bicalho's MD standing serving CBSA 63128 with a 4.52/5 patient scorecard.
Compared against Saint Louis, MO Orthopedic Surgery peers
6,000 annual services across 215 beneficiaries
Standard deviations from MO Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 247 | 83.95th | $35 – $50 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 185 | 80.95th | $37 – $52 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 130 | 88.95th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 75 | 87.95th | $50 – $68 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 48 | 81.95th | $321 – $440 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (60 HCPCS billing breadth) | 5,315 | 83.95th | $45 – $65 |
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Dr. Paulo Bicalho, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Bicalho National Provider Identifier | NPI #1487606810 (MD) | CMS NPPES Registry (63128) |
| Dr. Bicalho Saint Louis CMS Volume Rank | 83.95th Pct (6,000 CMS svcs; Z +0.212σ) | CMS Medicare Part B (MO Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Saint Louis, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.75/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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