Dr. Neil Grafstein, MD
4101 N Roxboro St, Durham, NC 27704 • +1-606-555-5051
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Durham Percentiles
NPI #1891800033 • CBSA Regional • Urology
Dr. Neil Grafstein, MD (NPI #1891800033) practices Urology in Durham, NC (27704) with sub-specialty concentration in 60 Active CMS HCPCS Codes, recording 4,575 annual CMS services across 450 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (54.55th Durham percentile) (-0.11σ vs NC state mean, 59.66th statewide percentile).
Medicare Part B line-item claims for Dr. Neil Grafstein (27704) place 99214 at the top of the practice ledger (454 yearly units, 54.55th metro rank), rounded out by 51798 and 52000.
Self-pay new patient consultations with Dr. Grafstein (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 13-minute average reception wait, and a 4.91/5 modern protocol openness score across 23 patient logs.
Clinical background for Dr. Grafstein (MD, NPI #1891800033) includes accredited doctoral training (1997, 29 yrs in practice) and virtual + in-office availability across NC.
Compared against Durham, NC Urology peers
4,575 annual services across 450 beneficiaries
Standard deviations from NC Urology 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 Urologic, BPH & Androgen Evaluation | 454 | 54.55th | $78 – $106 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 340 | 56.55th | $32 – $47 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 214 | 54.55th | $158 – $217 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 151 | 56.55th | $44 – $60 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 101 | 58.55th | $109 – $150 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (60 HCPCS billing breadth) | 3,314 | 54.55th | $70 – $102 |
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Dr. Neil Grafstein, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Grafstein National Provider Identifier | NPI #1891800033 (MD) | CMS NPPES Registry (27704) |
| Dr. Grafstein Durham CMS Volume Rank | 54.55th Pct (4,575 CMS svcs; Z -0.114σ) | CMS Medicare Part B (NC Urology) |
| 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 • 13 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.91/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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