Dr. Sean Boyle, MD
17 E Genesee St Ste 303, Auburn, NY 13021 • +1-205-555-1779
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Auburn Percentiles
NPI #1629060603 • CBSA Regional • Family Practice
Operating out of Auburn, NY (17 E Genesee St Ste 303), Family Practice clinician Dr. Sean Boyle, MD (accredited MD/DO training, 1996) maintains a focused low-volume boutique caseload (16.67th Auburn percentile) (16.95th NY percentile; Z-score -0.42σ across 818 documented services) with sub-specialty concentration in 42 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1629060603 highlights 312 annual claims for 99214 (16.67th Auburn percentile; $161–$221 self-pay corridor) plus 230 encounters under 99213 and 89 under G0439.
Self-pay new patient consultations with Dr. Boyle (CPT 99204 GPCI-adjusted benchmark) estimate around $232.00 (community reported average: $232.00) with hybrid in-clinic and telehealth video consults, 15-minute average reception wait, and a 4.92/5 modern protocol openness score across 25 patient logs.
Spanning 30 years of clinical practice following 1996 graduation from medical training, Dr. Sean Boyle integrates 42 Active CMS HCPCS Codes diagnostics for Auburn metro patients.
Compared against Auburn, NY Family Practice peers
818 annual services across 178 beneficiaries
Standard deviations from NY Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 312 | 16.67th | $161 – $221 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 230 | 13.67th | $123 – $169 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 89 | 20.67th | $185 – $254 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 67 | 18.67th | $35 – $50 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 45 | 16.67th | $222 – $304 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (42 HCPCS billing breadth) | 76 | 16.67th | $145 – $210 |
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Dr. Sean Boyle, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Boyle National Provider Identifier | NPI #1629060603 (MD) | CMS NPPES Registry (13021) |
| Dr. Boyle Auburn CMS Volume Rank | 16.67th Pct (818 CMS svcs; Z -0.420σ) | CMS Medicare Part B (NY Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Auburn, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 15 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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