Dr. A. Pinheiro, MD
1229 E Seminole St, Springfield, MO 65804 • +1-615-555-6841
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Springfield Percentiles
NPI #1225128655 • CBSA Regional • Otolaryngology
Within the Springfield, MO (CBSA local) Otolaryngology cohort, Dr. A. Pinheiro, MD with sub-specialty concentration in 90 Active CMS HCPCS Codes ranks at the 25th municipal percentile and 17.86th MO percentile (-0.37σ Z-score) based on 747 billed procedures for 257 patients.
Medicare Part B line-item claims for Dr. A. Pinheiro (65804) place 99213 at the top of the practice ledger (254 yearly units, 25th metro rank), rounded out by 31231 and 31575.
Uninsured and high-deductible cash patients visiting Dr. A. Pinheiro in Springfield (65804) face an estimated $209.00 initial evaluation fee at 1229 E Seminole St (hybrid in-clinic and telehealth video consults; 9-minute average reception wait; bedside manner 4.79/5 from 7 verified reports).
NPI registry verification (#1225128655) confirms Dr. A. Pinheiro's MD standing serving CBSA 65804 with a 4.80/5 patient scorecard.
Compared against Springfield, MO Otolaryngology peers
747 annual services across 257 beneficiaries
Standard deviations from MO Otolaryngology 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 Ear, Nose, Sinus & Throat Examination | 254 | 25th | $200 – $273 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 187 | 26th | $401 – $550 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 142 | 29th | $293 – $401 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 97 | 23th | $141 – $193 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 67 | 30th | $126 – $172 |
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Dr. A. Pinheiro, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pinheiro National Provider Identifier | NPI #1225128655 (MD) | CMS NPPES Registry (65804) |
| Dr. Pinheiro Springfield CMS Volume Rank | 25.00th Pct (747 CMS svcs; Z -0.368σ) | CMS Medicare Part B (MO Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Springfield, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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