Dr. Paul Manoukian, MD
1493 Medical Pkwy, Carson City, NV 89703 • +1-961-555-8340
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Carson City Percentiles
NPI #1083673909 • CBSA Regional • Otolaryngology
Statistical peer benchmarking across NV Otolaryngology providers positions Dr. Paul Manoukian, MD in Carson City at -0.10σ (0th city percentile / 56.25th state percentile, 788 Medicare beneficiaries), with clinical focus spanning 89 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 1493 Medical Pkwy shows Dr. Paul Manoukian's primary concentration in Focused Ear, Nose, Sinus & Throat Examination (code 99213: 741x/yr, 12th local percentile) alongside Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy (31231: 545x/yr, $266–$364).
Uninsured and high-deductible cash patients visiting Dr. Paul Manoukian in Carson City (89703) face an estimated $209.00 initial evaluation fee at 1493 Medical Pkwy (in-person clinic visits only; 9-minute average reception wait; bedside manner 4.55/5 from 3 verified reports).
Spanning 13 years of clinical practice following 2013 graduation from medical training, Dr. Paul Manoukian integrates 89 Active CMS HCPCS Codes diagnostics for Carson City metro patients.
Compared against Carson City, NV Otolaryngology peers
2,178 annual services across 788 beneficiaries
Standard deviations from NV Otolaryngology 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 Ear, Nose, Sinus & Throat Examination | 741 | 12th | $132 – $181 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 545 | 12th | $266 – $364 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 414 | 12th | $194 – $266 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 283 | 12th | $93 – $128 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 196 | 12th | $83 – $114 |
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Dr. Paul Manoukian, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Manoukian National Provider Identifier | NPI #1083673909 (MD) | CMS NPPES Registry (89703) |
| Dr. Manoukian Carson City CMS Volume Rank | 0.00th Pct (2,178 CMS svcs; Z -0.096σ) | CMS Medicare Part B (NV Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Carson City, NV) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.55/5 Listening • 4.67/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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