Dr. Theodore Falk, MD
63 Grand Ave, Ste 100, River Edge, NJ 07661 • +1-654-555-6139
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & River Edge Percentiles
NPI #1912967464 • CBSA Regional • Allergy/ Immunology
Within the River Edge, NJ (CBSA local) Allergy/ Immunology cohort, Dr. Theodore Falk, MD with sub-specialty concentration in 24 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 86.84th NJ percentile (+0.40σ Z-score) based on 12,930 billed procedures for 275 patients.
Among 6 tracked CMS fee-schedule codes for Dr. Falk (averaging 47.0 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (5786 encounters), paired with 99213 (3343x).
Uninsured and high-deductible cash patients visiting Dr. Theodore Falk in River Edge (07661) face an estimated $209.00 initial evaluation fee at 63 Grand Ave, Ste 100 (hybrid in-clinic and telehealth video consults; 12-minute average reception wait; bedside manner 4.93/5 from 26 verified reports).
Clinical background for Dr. Falk (MD, NPI #1912967464) includes accredited doctoral training (2018, 8 yrs in practice) and virtual + in-office availability across NJ.
Top 10% Allergy/ Immunology volume leader in River Edge, NJ
12,930 annual services across 275 beneficiaries
Standard deviations from NJ Allergy/ Immunology 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 | 5,786 | 99th | $43 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 3,343 | 98th | $33 – $48 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 1,671 | 99th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 1,286 | 96th | $51 – $70 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 771 | 99.5th | $60 – $83 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (24 HCPCS billing breadth) | 73 | 99th | $45 – $65 |
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Dr. Theodore Falk, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Falk National Provider Identifier | NPI #1912967464 (MD) | CMS NPPES Registry (07661) |
| Dr. Falk River Edge CMS Volume Rank | 99.00th Pct (12,930 CMS svcs; Z +0.398σ) | CMS Medicare Part B (NJ Allergy/ Immunology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (River Edge, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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