Dr. Thomas Falco, MD
1279 E Main St, Riverhead, NY 11901 • +1-933-555-2630
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Riverhead Percentiles
NPI #1659374973 • CBSA Regional • Cardiology
Within the Riverhead, NY (CBSA local) Cardiology cohort, Dr. Thomas Falco, MD with sub-specialty concentration in 59 Active CMS HCPCS Codes ranks at the 78.57th municipal percentile and 92.27th NY percentile (+0.87σ Z-score) based on 8,488 billed procedures for 1,730 patients.
Fee-schedule auditing of NPI 1659374973 highlights 3117 annual claims for 99214 (78.57th Riverhead percentile; $140–$192 self-pay corridor) plus 2297 encounters under 93000 and 1477 under 93306.
Uninsured and high-deductible cash patients visiting Dr. Thomas Falco in Riverhead (11901) face an estimated $232.00 initial evaluation fee at 1279 E Main St (hybrid in-clinic and telehealth video consults; 9-minute average reception wait; bedside manner 4.93/5 from 23 verified reports).
NPI registry verification (#1659374973) confirms Dr. Thomas Falco's MD standing serving CBSA 11901 with a 4.72/5 patient scorecard.
Compared against Riverhead, NY Cardiology peers
8,488 annual services across 1,730 beneficiaries
Standard deviations from NY Cardiology 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 Cardiology Consultation & Hemodynamic Review | 3,117 | 78.57th | $140 – $192 |
| 93000 | 12-Lead Resting Electrocardiogram (ECG) w/ Interpretation | 2,297 | 74.57th | $55 – $75 |
| 93306 | Complete Transthoracic Echocardiography w/ Doppler & Color Flow | 1,477 | 82.57th | $262 – $359 |
| 93224 | 24-Hour Ambulatory ECG Rhythm Monitoring & Analysis | 820 | 73.57th | $165 – $226 |
| 99204 | Comprehensive New Patient Cardiovascular Risk Evaluation | 492 | 81.57th | $201 – $276 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (59 HCPCS billing breadth) | 285 | 78.57th | $127 – $184 |
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Dr. Thomas Falco, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Falco National Provider Identifier | NPI #1659374973 (MD) | CMS NPPES Registry (11901) |
| Dr. Falco Riverhead CMS Volume Rank | 78.57th Pct (8,488 CMS svcs; Z +0.871σ) | CMS Medicare Part B (NY Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Riverhead, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 9 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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