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Urology • New York, NY 10021 • NPI #1134158488

Dr. Douglas Birns, MD

157 E 72nd St, New York, NY 10021 • +1-926-555-7827

Medical Education: Accredited U.S. Medical School (Class of 2003)

63 Active CMS HCPCS Codes
4.84/5
Waiting-Room Score
11 patient logs
$239.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & New York Percentiles

NPI #1134158488 • CBSA 35620 • Urology

Dr. Douglas Birns DotMD Verification Badge

Within the New York, NY (CBSA 35620) Urology cohort, Dr. Douglas Birns, MD with sub-specialty concentration in 63 Active CMS HCPCS Codes ranks at the 77.69th municipal percentile and 63.74th NY percentile (-0.12σ Z-score) based on 5,034 billed procedures for 690 patients.

Procedural volume for Dr. Birns is led by HCPCS 99214 (Established Urologic, BPH & Androgen Evaluation — 1441 annual services, $122–$167 GPCI cash estimate), followed by CPT 51798 (Ultrasound Measurement of Post-Void Residual Urine Capacity, 1081/yr) and CPT 52000 (Diagnostic Cystourethroscopy Lower Urinary Tract Inspection, 681/yr).

Uninsured and high-deductible cash patients visiting Dr. Douglas Birns in New York (10021) face an estimated $239.00 initial evaluation fee at 157 E 72nd St (hybrid in-clinic and telehealth video consults; 15-minute average reception wait; bedside manner 4.89/5 from 11 verified reports).

Patients evaluating Dr. Douglas Birns in ZIP 10021 note 23 years of post-doctoral tenure (null, 2003) alongside 7.3 annual CMS procedures per patient.

New York Percentile 77.69th

Compared against New York, NY Urology peers

NY State Percentile 63.74th

5,034 annual services across 690 beneficiaries

Regional Volume Z-Score -0.124σ

Standard deviations from NY Urology 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 Urologic, BPH & Androgen Evaluation 1,441 77.69th $122 – $167
51798 Ultrasound Measurement of Post-Void Residual Urine Capacity 1,081 76.69th $51 – $70
52000 Diagnostic Cystourethroscopy Lower Urinary Tract Inspection 681 75.69th $249 – $342
51741 Complex Electronic Uroflowmetry Stream Calibration 480 82.69th $69 – $94
99204 New Patient Urologic & Prostate Diagnostic Consultation 320 74.69th $172 – $235
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (63 HCPCS billing breadth) 1,031 77.69th $110 – $160
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Dr. Douglas Birns, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Birns National Provider Identifier NPI #1134158488 (MD) CMS NPPES Registry (10021)
Dr. Birns New York CMS Volume Rank 77.69th Pct (5,034 CMS svcs; Z -0.124σ) CMS Medicare Part B (NY Urology)
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 • 15 min lobby wait 11 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.89/5 Listening • 4.84/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
15 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $239.00
Listens Without Rushing
4.89/5
Patient communication rating
Modern Protocol Openness
4.84/5
Preventive labs, GLP-1s & HRT
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