Dr. Paul Mustacchia, MD
2201 Hempstead Tpke, East Meadow, NY 11554 • +1-578-555-2629
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & East Meadow Percentiles
NPI #1285693820 • CBSA Regional • Gastroenterology
Operating out of East Meadow, NY (2201 Hempstead Tpke), Gastroenterology clinician Dr. Paul Mustacchia, MD (accredited MD/DO training, 1997) maintains a focused low-volume boutique caseload (0th East Meadow percentile) (16.7th NY percentile; Z-score -0.43σ across 774 documented services) with sub-specialty concentration in 25 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1285693820 highlights 286 annual claims for 99214 (12th East Meadow percentile; $183–$251 self-pay corridor) plus 194 encounters under 45380 and 163 under 43239.
Direct cash-pay transparency modeling sets Dr. Mustacchia's baseline new-consult rate near $232.00 in East Meadow, NY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 16-minute average reception wait).
NPI registry verification (#1285693820) confirms Dr. Paul Mustacchia's MD standing serving CBSA 11554 with a 4.89/5 patient scorecard.
Compared against East Meadow, NY Gastroenterology peers
774 annual services across 246 beneficiaries
Standard deviations from NY Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 286 | 12th | $183 – $251 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 194 | 12th | $441 – $604 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 163 | 12th | $366 – $501 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 77 | 12th | $490 – $672 |
| 99204 | New Patient Digestive & Hepatology Consultation | 54 | 12th | $258 – $353 |
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Dr. Paul Mustacchia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mustacchia National Provider Identifier | NPI #1285693820 (MD) | CMS NPPES Registry (11554) |
| Dr. Mustacchia East Meadow CMS Volume Rank | 0.00th Pct (774 CMS svcs; Z -0.426σ) | CMS Medicare Part B (NY Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (East Meadow, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 16 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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