Dr. Paul Fallon, MD
1145 Sagamore Ave, Portsmouth, NH 03801 • +1-256-555-5556
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Portsmouth Percentiles
NPI #1093889206 • CBSA Regional • Psychiatry
Dr. Paul Fallon, MD (NPI #1093889206) practices Psychiatry in Portsmouth, NH (03801) with sub-specialty concentration in 18 Active CMS HCPCS Codes, recording 1,004 annual CMS services across 228 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Portsmouth percentile) (-0.56σ vs NH state mean, 25.93th statewide percentile).
Among 4 tracked CMS fee-schedule codes for Dr. Fallon (averaging 4.4 services per beneficiary), 99214 (Psychopharmacology Medication & Symptom Titration Visit) represents 44% of tracked volume (442 encounters), paired with 90833 (281x).
Self-pay new patient consultations with Dr. Fallon (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 17-minute average reception wait, and a 4.77/5 modern protocol openness score across 15 patient logs.
Patients evaluating Dr. Paul Fallon in ZIP 03801 note 19 years of post-doctoral tenure (null, 2007) alongside 4.4 annual CMS procedures per patient.
Compared against Portsmouth, NH Psychiatry peers
1,004 annual services across 228 beneficiaries
Standard deviations from NH Psychiatry mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Psychopharmacology Medication & Symptom Titration Visit | 442 | 50th | $141 – $194 |
| 90833 | Add-On Focused Psychotherapy w/ Medical Evaluation (30 min) | 281 | 45th | $102 – $139 |
| 99213 | Established Behavioral Health Maintenance Follow-Up | 161 | 49th | $108 – $148 |
| 90792 | Comprehensive Psychiatric Diagnostic & Medical Evaluation | 120 | 52th | $221 – $303 |
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Dr. Paul Fallon, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fallon National Provider Identifier | NPI #1093889206 (MD) | CMS NPPES Registry (03801) |
| Dr. Fallon Portsmouth CMS Volume Rank | 50.00th Pct (1,004 CMS svcs; Z -0.558σ) | CMS Medicare Part B (NH Psychiatry) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Portsmouth, NH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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