Dr. Timothy Dalton, MD
1101 S 70th St, Suite 101, Lincoln, NE 68510 • +1-711-555-5061
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Lincoln Percentiles
NPI #1811950694 • CBSA Regional • Family Practice
Within the Lincoln, NE (CBSA local) Family Practice cohort, Dr. Timothy Dalton, MD with sub-specialty concentration in 51 Active CMS HCPCS Codes ranks at the 28.36th municipal percentile and 20.71th NE percentile (-0.47σ Z-score) based on 1,353 billed procedures for 232 patients.
Fee-schedule auditing of NPI 1811950694 highlights 545 annual claims for 99214 (28.36th Lincoln percentile; $100–$138 self-pay corridor) plus 402 encounters under 99213 and 156 under G0439.
Direct cash-pay transparency modeling sets Dr. Dalton's baseline new-consult rate near $209.00 in Lincoln, NE (cash-pay accepted, in-person clinic visits only, 14-minute average reception wait).
Spanning 25 years of clinical practice following 2001 graduation from medical training, Dr. Timothy Dalton integrates 51 Active CMS HCPCS Codes diagnostics for Lincoln metro patients.
Compared against Lincoln, NE Family Practice peers
1,353 annual services across 232 beneficiaries
Standard deviations from NE Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 545 | 28.36th | $100 – $138 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 402 | 25.36th | $77 – $105 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 156 | 30.36th | $115 – $158 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 117 | 29.36th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 78 | 28.36th | $138 – $189 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (51 HCPCS billing breadth) | 55 | 28.36th | $91 – $132 |
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Dr. Timothy Dalton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Dalton National Provider Identifier | NPI #1811950694 (MD) | CMS NPPES Registry (68510) |
| Dr. Dalton Lincoln CMS Volume Rank | 28.36th Pct (1,353 CMS svcs; Z -0.471σ) | CMS Medicare Part B (NE Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lincoln, NE) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.72/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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