Dr. Ralph Abi Hachem, MD
2301 Erwin Rd, Durham, NC 27705 • +1-567-555-2420
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Durham Percentiles
NPI #1285953430 • CBSA Regional • Otolaryngology
Anchored in Durham, NC 27705, Dr. Ralph Abi Hachem, MD (NPI 1285953430) logged 738 annual procedures (focused low-volume boutique caseload (0th Durham percentile), 7.45th NC percentile, -0.76σ) with sub-specialty concentration in 46 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Abi Hachem (averaging 4.4 services per beneficiary), 99213 (Focused Ear, Nose, Sinus & Throat Examination) represents 34% of tracked volume (251 encounters), paired with 31231 (185x).
Self-pay new patient consultations with Dr. Abi Hachem (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 20-minute average reception wait, and a 4.94/5 modern protocol openness score across 16 patient logs.
Clinical background for Dr. Abi Hachem (MD, NPI #1285953430) includes accredited doctoral training (2008, 18 yrs in practice) and virtual + in-office availability across NC.
Compared against Durham, NC Otolaryngology peers
738 annual services across 169 beneficiaries
Standard deviations from NC 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 | 251 | 12th | $228 – $312 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 185 | 12th | $458 – $628 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 140 | 12th | $334 – $458 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 96 | 12th | $161 – $221 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 66 | 12th | $144 – $197 |
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Dr. Ralph Abi Hachem, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Abi Hachem National Provider Identifier | NPI #1285953430 (MD) | CMS NPPES Registry (27705) |
| Dr. Abi Hachem Durham CMS Volume Rank | 0.00th Pct (738 CMS svcs; Z -0.757σ) | CMS Medicare Part B (NC Otolaryngology) |
| 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 • 20 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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