Dr. Alain Berthold, MD
1 Healthy Way, Oceanside, NY 11572 • +1-852-555-1602
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Oceanside Percentiles
NPI #1538320403 • CBSA Regional • Hospitalist
Statistical peer benchmarking across NY Hospitalist providers positions Dr. Alain Berthold, MD in Oceanside at -0.09σ (0th city percentile / 42.83th state percentile, 243 Medicare beneficiaries), with clinical focus spanning 9 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Alain Berthold (11572) place 99214 at the top of the practice ledger (381 yearly units, 12th metro rank), rounded out by 99213 and 93000.
At 1 Healthy Way (11572), Dr. Alain Berthold, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$232.00 per new consult (4.93/5 bedside rating).
Spanning 13 years of clinical practice following 2013 graduation from medical training, Dr. Alain Berthold integrates 9 Active CMS HCPCS Codes diagnostics for Oceanside metro patients.
Compared against Oceanside, NY Hospitalist peers
846 annual services across 243 beneficiaries
Standard deviations from NY Hospitalist 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 | 381 | 12th | $172 – $235 |
| 99213 | Established Preventive & Chronic Care Visit | 220 | 12th | $131 – $180 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 110 | 12th | $63 – $86 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 85 | 12th | $202 – $276 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 51 | 12th | $239 – $327 |
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Dr. Alain Berthold, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Berthold National Provider Identifier | NPI #1538320403 (MD) | CMS NPPES Registry (11572) |
| Dr. Berthold Oceanside CMS Volume Rank | 0.00th Pct (846 CMS svcs; Z -0.087σ) | CMS Medicare Part B (NY Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Oceanside, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 21 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.63/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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