Dr. Amy Barto, MD
40 Medicine Circle, Durham, NC 27710 • +1-549-555-5019
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Durham Percentiles
NPI #1710934443 • CBSA Regional • Gastroenterology
CMS Medicare Part B utilization records credit Dr. Amy Barto (MD, NPI 1710934443) at 40 Medicine Circle in Durham with 1,382 annual clinical services (229 beneficiaries), corresponding to a -0.68σ regional deviation and upper-quartile active clinical volume (66.67th Durham percentile) with sub-specialty concentration in 48 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1710934443 highlights 511 annual claims for 99214 (66.67th Durham percentile; $68–$93 self-pay corridor) plus 346 encounters under 45380 and 290 under 43239.
Self-pay new patient consultations with Dr. Barto (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 22-minute average reception wait, and a 4.49/5 modern protocol openness score across 10 patient logs.
Credentialed as an MD specialist with 9 years post-graduation experience since completing medical school at an LCME/COCA institution (2017), Dr. Barto coordinates 48 Active CMS HCPCS Codes workups from 40 Medicine Circle (+1-549-555-5019).
Compared against Durham, NC Gastroenterology peers
1,382 annual services across 229 beneficiaries
Standard deviations from NC Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 511 | 66.67th | $68 – $93 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 346 | 70.67th | $164 – $225 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 290 | 71.67th | $136 – $186 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 138 | 71.67th | $182 – $250 |
| 99204 | New Patient Digestive & Hepatology Consultation | 97 | 61.67th | $96 – $131 |
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Dr. Amy Barto, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Barto National Provider Identifier | NPI #1710934443 (MD) | CMS NPPES Registry (27710) |
| Dr. Barto Durham CMS Volume Rank | 66.67th Pct (1,382 CMS svcs; Z -0.676σ) | CMS Medicare Part B (NC Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Durham, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.49/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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