Dr. Andrew Spinak, MD
169 N Middletown Rd, Pearl River, NY 10965 • +1-488-555-4339
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Pearl River Percentiles
NPI #1558364505 • CBSA Regional • Ophthalmology
Statistical peer benchmarking across NY Ophthalmology providers positions Dr. Andrew Spinak, MD in Pearl River at -0.09σ (0th city percentile / 73.81th state percentile, 983 Medicare beneficiaries), with clinical focus spanning 47 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1558364505 highlights 1874 annual claims for 92014 (12th Pearl River percentile; $145–$198 self-pay corridor) plus 1317 encounters under 92134 and 861 under 92083.
Cash-pay intake data for NPI 1558364505 (169 N Middletown Rd, Pearl River) indicates $232.00 typical out-of-pocket visit spend against a $232.00 locality benchmark, paired with 15-minute average reception wait and 4.94/5 biomarker openness.
Clinical background for Dr. Spinak (MD, NPI #1558364505) includes accredited doctoral training (2013, 13 yrs in practice) and dedicated on-site consultations at 169 N Middletown Rd.
Compared against Pearl River, NY Ophthalmology peers
5,064 annual services across 983 beneficiaries
Standard deviations from NY Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 1,874 | 12th | $145 – $198 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 1,317 | 12th | $80 – $109 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 861 | 12th | $96 – $131 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 608 | 12th | $174 – $238 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 405 | 12th | $637 – $873 |
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Dr. Andrew Spinak, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spinak National Provider Identifier | NPI #1558364505 (MD) | CMS NPPES Registry (10965) |
| Dr. Spinak Pearl River CMS Volume Rank | 0.00th Pct (5,064 CMS svcs; Z -0.085σ) | CMS Medicare Part B (NY Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pearl River, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 15 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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