Dr. Robert Defalco, DO
108 Bilby Rd, Suite 201, Hackettstown, NJ 07840 • +1-341-555-3240
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Hackettstown Percentiles
NPI #1174554471 • CBSA Regional • Orthopedic Surgery
CMS Medicare Part B utilization records credit Dr. Robert Defalco (DO, NPI 1174554471) at 108 Bilby Rd, Suite 201 in Hackettstown with 1,196 annual clinical services (40 beneficiaries), corresponding to a -0.58σ regional deviation and focused low-volume boutique caseload (11.11th Hackettstown percentile) with sub-specialty concentration in 24 Active CMS HCPCS Codes.
Dr. Defalco's longitudinal care intensity (29.9 billed units per patient across 40 individuals) centers on 99213 (54 annual units) and 20610 ($37–$52 cash range).
Uninsured and high-deductible cash patients visiting Dr. Robert Defalco in Hackettstown (07840) face an estimated $209.00 initial evaluation fee at 108 Bilby Rd, Suite 201 (hybrid in-clinic and telehealth video consults; 15-minute average reception wait; bedside manner 4.62/5 from 17 verified reports).
Credentialed as an DO specialist with 26 years post-graduation experience since completing medical school at an LCME/COCA institution (2000), Dr. Defalco coordinates 24 Active CMS HCPCS Codes workups from 108 Bilby Rd, Suite 201 (+1-341-555-3240).
Compared against Hackettstown, NJ Orthopedic Surgery peers
1,196 annual services across 40 beneficiaries
Standard deviations from NJ Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 54 | 12th | $35 – $50 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 41 | 12th | $37 – $52 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 29 | 12th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 17 | 12th | $50 – $68 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 11 | 13.11th | $321 – $440 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (24 HCPCS billing breadth) | 1,045 | 11.11th | $45 – $65 |
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Dr. Robert Defalco, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Defalco National Provider Identifier | NPI #1174554471 (DO) | CMS NPPES Registry (07840) |
| Dr. Defalco Hackettstown CMS Volume Rank | 11.11th Pct (1,196 CMS svcs; Z -0.585σ) | CMS Medicare Part B (NJ Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Hackettstown, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.82/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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