Dr. Robert Fafalak, MD
4 Lexington Ave, 1s, New York, NY 10010 • +1-908-555-5992
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & New York Percentiles
NPI #1982683041 • CBSA 35620 • Rheumatology
Dr. Robert Fafalak, MD (NPI #1982683041) practices Rheumatology in New York, NY (10010) with sub-specialty concentration in 32 Active CMS HCPCS Codes, recording 15,954 annual CMS services across 418 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (81.48th New York percentile) (-0.33σ vs NY state mean, 60.53th statewide percentile).
Dr. Fafalak's longitudinal care intensity (38.2 billed units per patient across 418 individuals) centers on 99214 (2498 annual units) and 20610 ($45–$62 cash range).
Direct cash-pay transparency modeling sets Dr. Fafalak's baseline new-consult rate near $239.00 in New York, NY (cash-pay accepted, in-person clinic visits only, 12-minute average reception wait).
Spanning 28 years of clinical practice following 1998 graduation from medical training, Dr. Robert Fafalak integrates 32 Active CMS HCPCS Codes diagnostics for New York metro patients.
Compared against New York, NY Rheumatology peers
15,954 annual services across 418 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 | 2,498 | 81.48th | $57 – $78 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 1,141 | 79.48th | $45 – $62 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 815 | 83.48th | $79 – $108 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 543 | 76.48th | $60 – $82 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 434 | 81.48th | $79 – $108 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (32 HCPCS billing breadth) | 10,523 | 81.48th | $49 – $71 |
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Dr. Robert Fafalak, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fafalak National Provider Identifier | NPI #1982683041 (MD) | CMS NPPES Registry (10010) |
| Dr. Fafalak New York CMS Volume Rank | 81.48th Pct (15,954 CMS svcs; Z -0.331σ) | CMS Medicare Part B (NY Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (New York, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 12 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.55/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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