Dr. Priya Pinto, MD
222 Station Plz N, Mineola, NY 11501 • +1-621-555-7417
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Mineola Percentiles
NPI #1629223037 • CBSA Regional • Hospice and Palliative Care
Dr. Priya Pinto, MD (NPI #1629223037) practices Hospice and Palliative Care in Mineola, NY (11501) with sub-specialty concentration in 15 Active CMS HCPCS Codes, recording 923 annual CMS services across 299 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Mineola percentile) (-0.24σ vs NY state mean, 48th statewide percentile).
Fee-schedule auditing of NPI 1629223037 highlights 415 annual claims for 99214 (50th Mineola percentile; $191–$261 self-pay corridor) plus 240 encounters under 99213 and 120 under 93000.
For out-of-network patients contacting +1-621-555-7417, Dr. Pinto's practice posts a $232.00 GPCI self-pay consult estimate ($232.00 patient-logged median, 4.62/5 composite reality score over 25 submissions).
NPI registry verification (#1629223037) confirms Dr. Priya Pinto's MD standing serving CBSA 11501 with a 4.62/5 patient scorecard.
Compared against Mineola, NY Hospice and Palliative Care peers
923 annual services across 299 beneficiaries
Standard deviations from NY Hospice and Palliative Care mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 415 | 50th | $191 – $261 |
| 99213 | Established Preventive & Chronic Care Visit | 240 | 55th | $146 – $200 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 120 | 47th | $70 – $95 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 92 | 48th | $224 – $307 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 55 | 46th | $265 – $364 |
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Dr. Priya Pinto, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pinto National Provider Identifier | NPI #1629223037 (MD) | CMS NPPES Registry (11501) |
| Dr. Pinto Mineola CMS Volume Rank | 50.00th Pct (923 CMS svcs; Z -0.238σ) | CMS Medicare Part B (NY Hospice and Palliative Care) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mineola, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 17 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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