Dr. Vivian Monsanto, MD
3127 41st St, Astoria, NY 11103 • +1-591-555-7562
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Astoria Percentiles
NPI #1639135171 • CBSA Regional • Ophthalmology
Operating out of Astoria, NY (3127 41st St), Ophthalmology clinician Dr. Vivian Monsanto, MD (accredited MD/DO training, 2015) maintains a focused low-volume boutique caseload (16.67th Astoria percentile) (24.67th NY percentile; Z-score -0.27σ across 1,509 documented services) with sub-specialty concentration in 17 Active CMS HCPCS Codes.
Procedural volume for Dr. Monsanto is led by HCPCS 92014 (Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam — 558 annual services, $168–$231 GPCI cash estimate), followed by CPT 92134 (Scanning Computerized Ophthalmic Retinal OCT Imaging, 392/yr) and CPT 92083 (Extended Threshold Visual Field Glaucoma Perimetry, 257/yr).
Direct cash-pay transparency modeling sets Dr. Monsanto's baseline new-consult rate near $232.00 in Astoria, NY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 15-minute average reception wait).
Spanning 11 years of clinical practice following 2015 graduation from medical training, Dr. Vivian Monsanto integrates 17 Active CMS HCPCS Codes diagnostics for Astoria metro patients.
Compared against Astoria, NY Ophthalmology peers
1,509 annual services across 562 beneficiaries
Standard deviations from NY Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 558 | 16.67th | $168 – $231 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 392 | 12th | $93 – $127 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 257 | 21.67th | $111 – $153 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 181 | 21.67th | $203 – $278 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 121 | 21.67th | $742 – $1017 |
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Dr. Vivian Monsanto, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Monsanto National Provider Identifier | NPI #1639135171 (MD) | CMS NPPES Registry (11103) |
| Dr. Monsanto Astoria CMS Volume Rank | 16.67th Pct (1,509 CMS svcs; Z -0.268σ) | CMS Medicare Part B (NY Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Astoria, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 15 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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