Dr. Richard Hughes, MD
2 Broad Street Plz, Adirondack Ent, Glens Falls, NY 12801 • +1-264-555-4241
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Glens Falls Percentiles
NPI #1427044262 • CBSA Regional • Otolaryngology
Operating out of Glens Falls, NY (2 Broad Street Plz, Adirondack Ent), Otolaryngology clinician Dr. Richard Hughes, MD (accredited MD/DO training, 2004) maintains a mid-cohort balanced caseload (50th Glens Falls percentile) (87.19th NY percentile; Z-score +0.84σ across 3,895 documented services) with sub-specialty concentration in 37 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1427044262 highlights 719 annual claims for 99213 (50th Glens Falls percentile; $62–$86 self-pay corridor) plus 529 encounters under 31231 and 402 under 31575.
Direct cash-pay transparency modeling sets Dr. Hughes's baseline new-consult rate near $232.00 in Glens Falls, NY (cash-pay accepted, in-person clinic visits only, 22-minute average reception wait).
Clinical background for Dr. Hughes (MD, NPI #1427044262) includes accredited doctoral training (2004, 22 yrs in practice) and dedicated on-site consultations at 2 Broad Street Plz, Adirondack Ent.
Compared against Glens Falls, NY Otolaryngology peers
3,895 annual services across 495 beneficiaries
Standard deviations from NY 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 | 719 | 50th | $62 – $86 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 529 | 52th | $126 – $172 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 402 | 46th | $92 – $126 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 275 | 45th | $44 – $60 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 190 | 45th | $39 – $54 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (37 HCPCS billing breadth) | 1,780 | 50th | $70 – $102 |
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Dr. Richard Hughes, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Hughes National Provider Identifier | NPI #1427044262 (MD) | CMS NPPES Registry (12801) |
| Dr. Hughes Glens Falls CMS Volume Rank | 50.00th Pct (3,895 CMS svcs; Z +0.842σ) | CMS Medicare Part B (NY Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Glens Falls, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 22 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.58/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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