Dr. Rebecca Danforth, MD
500 W Broadway St, Missoula, MT 59802 • +1-567-555-2613
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Missoula Percentiles
NPI #1164570172 • CBSA Regional • Rheumatology
Dr. Rebecca Danforth, MD (NPI #1164570172) practices Rheumatology in Missoula, MT (59802) with sub-specialty concentration in 53 Active CMS HCPCS Codes, recording 56,635 annual CMS services across 423 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (25th Missoula percentile) (-0.08σ vs MT state mean, 66.67th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Danforth (averaging 133.9 services per beneficiary), 99214 (Autoimmune Arthritis & Biologic/DMARD Safety Evaluation) represents 1% of tracked volume (560 encounters), paired with 20610 (256x).
Self-pay new patient consultations with Dr. Danforth (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 12-minute average reception wait, and a 4.40/5 modern protocol openness score across 10 patient logs.
Clinical background for Dr. Danforth (MD, NPI #1164570172) includes accredited doctoral training (2011, 15 yrs in practice) and virtual + in-office availability across MT.
Compared against Missoula, MT Rheumatology peers
56,635 annual services across 423 beneficiaries
Standard deviations from MT Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 560 | 25th | $45 – $62 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 256 | 28th | $36 – $51 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 183 | 23th | $62 – $85 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 122 | 20th | $47 – $65 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 97 | 25th | $62 – $85 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (53 HCPCS billing breadth) | 55,417 | 25th | $45 – $65 |
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Dr. Rebecca Danforth, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Danforth National Provider Identifier | NPI #1164570172 (MD) | CMS NPPES Registry (59802) |
| Dr. Danforth Missoula CMS Volume Rank | 25.00th Pct (56,635 CMS svcs; Z -0.082σ) | CMS Medicare Part B (MT Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Missoula, MT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.40/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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