Dr. Lindsey Prochaska, DO
2131 S 17th St, Wilmington, NC 28401 • +1-215-555-9169
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Wilmington Percentiles
NPI #1295022838 • CBSA Regional • Hematology-Oncology
Statistical peer benchmarking across NC Hematology-Oncology providers positions Dr. Lindsey Prochaska, DO in Wilmington at -0.51σ (37.5th city percentile / 63.76th state percentile, 686 Medicare beneficiaries), with clinical focus spanning 11 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1295022838 highlights 788 annual claims for 99214 (37.5th Wilmington percentile; $135–$185 self-pay corridor) plus 455 encounters under 99213 and 228 under 93000.
Self-pay new patient consultations with Dr. Prochaska (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 17-minute average reception wait, and a 4.71/5 modern protocol openness score across 17 patient logs.
NPI registry verification (#1295022838) confirms Dr. Lindsey Prochaska's DO standing serving CBSA 28401 with a 4.78/5 patient scorecard.
Compared against Wilmington, NC Hematology-Oncology peers
1,751 annual services across 686 beneficiaries
Standard deviations from NC Hematology-Oncology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 788 | 37.5th | $135 – $185 |
| 99213 | Established Preventive & Chronic Care Visit | 455 | 41.5th | $103 – $142 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 228 | 37.5th | $49 – $68 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 175 | 34.5th | $159 – $217 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 105 | 39.5th | $188 – $258 |
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Dr. Lindsey Prochaska, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Prochaska National Provider Identifier | NPI #1295022838 (DO) | CMS NPPES Registry (28401) |
| Dr. Prochaska Wilmington CMS Volume Rank | 37.50th Pct (1,751 CMS svcs; Z -0.507σ) | CMS Medicare Part B (NC Hematology-Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Wilmington, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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