Dr. Ryan Bigelsen, DO
419 E Main St, Middletown, NY 10940 • +1-833-555-2253
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Middletown Percentiles
NPI #1326531203 • CBSA Regional • Rheumatology
Dr. Ryan Bigelsen, DO (NPI #1326531203) practices Rheumatology in Middletown, NY (10940) with sub-specialty concentration in 61 Active CMS HCPCS Codes, recording 783 annual CMS services across 47 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Middletown percentile) (-0.62σ vs NY state mean, 4.39th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Bigelsen (averaging 16.7 services per beneficiary), 99214 (Autoimmune Arthritis & Biologic/DMARD Safety Evaluation) represents 46% of tracked volume (360 encounters), paired with 20610 (164x).
For out-of-network patients contacting +1-833-555-2253, Dr. Bigelsen's practice posts a $232.00 GPCI self-pay consult estimate ($232.00 patient-logged median, 4.75/5 composite reality score over 14 submissions).
NPI registry verification (#1326531203) confirms Dr. Ryan Bigelsen's DO standing serving CBSA 10940 with a 4.75/5 patient scorecard.
Compared against Middletown, NY Rheumatology peers
783 annual services across 47 beneficiaries
Standard deviations from NY Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 360 | 12th | $50 – $69 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 164 | 12th | $40 – $55 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 117 | 12th | $69 – $95 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 78 | 12th | $52 – $72 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 63 | 12th | $69 – $95 |
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Dr. Ryan Bigelsen, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Bigelsen National Provider Identifier | NPI #1326531203 (DO) | CMS NPPES Registry (10940) |
| Dr. Bigelsen Middletown CMS Volume Rank | 0.00th Pct (783 CMS svcs; Z -0.623σ) | CMS Medicare Part B (NY Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Middletown, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 10 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.95/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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