Dr. Michael Sutton, MD
75 Beekman St, Plattsburgh, NY 12901 • +1-382-555-3694
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Plattsburgh Percentiles
NPI #1346736501 • CBSA Regional • Hospitalist
CMS Medicare Part B utilization records credit Dr. Michael Sutton (MD, NPI 1346736501) at 75 Beekman St in Plattsburgh with 797 annual clinical services (195 beneficiaries), corresponding to a -0.09σ regional deviation and focused low-volume boutique caseload (0th Plattsburgh percentile) with sub-specialty concentration in 10 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1346736501 highlights 359 annual claims for 99214 (12th Plattsburgh percentile; $165–$226 self-pay corridor) plus 207 encounters under 99213 and 104 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Michael Sutton in Plattsburgh (12901) face an estimated $232.00 initial evaluation fee at 75 Beekman St (hybrid in-clinic and telehealth video consults; 21-minute average reception wait; bedside manner 4.75/5 from 25 verified reports).
Clinical background for Dr. Sutton (MD, NPI #1346736501) includes accredited doctoral training (1999, 27 yrs in practice) and virtual + in-office availability across NY.
Compared against Plattsburgh, NY Hospitalist peers
797 annual services across 195 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 | 359 | 12th | $165 – $226 |
| 99213 | Established Preventive & Chronic Care Visit | 207 | 12th | $126 – $173 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 104 | 12th | $60 – $83 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 80 | 12th | $194 – $265 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 48 | 12th | $230 – $315 |
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Dr. Michael Sutton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sutton National Provider Identifier | NPI #1346736501 (MD) | CMS NPPES Registry (12901) |
| Dr. Sutton Plattsburgh CMS Volume Rank | 0.00th Pct (797 CMS svcs; Z -0.092σ) | CMS Medicare Part B (NY Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Plattsburgh, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 21 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.90/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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