Dr. Monica Paulo, MD
310 N 10th St, Bismarck, ND 58501 • +1-589-555-6600
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Bismarck Percentiles
NPI #1982703849 • CBSA Regional • Pulmonary Disease
Anchored in Bismarck, ND 58501, Dr. Monica Paulo, MD (NPI 1982703849) logged 1,099 annual procedures (mid-cohort balanced caseload (50th Bismarck percentile), 41.67th ND percentile, -0.38σ) with sub-specialty concentration in 24 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1982703849 highlights 451 annual claims for 99214 (50th Bismarck percentile; $67–$91 self-pay corridor) plus 253 encounters under 94060 and 187 under 94729.
Self-pay new patient consultations with Dr. Paulo (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 4.62/5 modern protocol openness score across 26 patient logs.
NPI registry verification (#1982703849) confirms Dr. Monica Paulo's MD standing serving CBSA 58501 with a 4.75/5 patient scorecard.
Compared against Bismarck, ND Pulmonary Disease peers
1,099 annual services across 401 beneficiaries
Standard deviations from ND Pulmonary Disease 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 Pulmonary, Asthma & COPD Management | 451 | 50th | $67 – $91 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 253 | 51th | $43 – $60 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 187 | 51th | $39 – $54 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 121 | 45th | $122 – $167 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 88 | 53th | $94 – $129 |
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Dr. Monica Paulo, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Paulo National Provider Identifier | NPI #1982703849 (MD) | CMS NPPES Registry (58501) |
| Dr. Paulo Bismarck CMS Volume Rank | 50.00th Pct (1,099 CMS svcs; Z -0.377σ) | CMS Medicare Part B (ND Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Bismarck, ND) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.62/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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