Dr. Anthony Szema, MD
3771 Nesconset Hwy, Suite 105, South Setauket, NY 11720 • +1-931-555-9389
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & South Setauket Percentiles
NPI #1831159649 • CBSA Regional • Allergy/ Immunology
Within the South Setauket, NY (CBSA local) Allergy/ Immunology cohort, Dr. Anthony Szema, MD with sub-specialty concentration in 66 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 96.81th NY percentile (+2.67σ Z-score) based on 30,675 billed procedures for 196 patients.
Fee-schedule auditing of NPI 1831159649 highlights 3249 annual claims for 99214 (99th South Setauket percentile; $48–$66 self-pay corridor) plus 1877 encounters under 99213 and 938 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Anthony Szema in South Setauket (11720) face an estimated $232.00 initial evaluation fee at 3771 Nesconset Hwy, Suite 105 (in-person clinic visits only; 16-minute average reception wait; bedside manner 4.73/5 from 6 verified reports).
Patients evaluating Dr. Anthony Szema in ZIP 11720 note 10 years of post-doctoral tenure (null, 2016) alongside 156.5 annual CMS procedures per patient.
Top 10% Allergy/ Immunology volume leader in South Setauket, NY
30,675 annual services across 196 beneficiaries
Standard deviations from NY Allergy/ Immunology 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 | 3,249 | 99th | $48 – $66 |
| 99213 | Established Preventive & Chronic Care Visit | 1,877 | 99.5th | $37 – $52 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 938 | 99.5th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 722 | 94th | $57 – $78 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 433 | 99.5th | $67 – $92 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (66 HCPCS billing breadth) | 23,456 | 99th | $45 – $65 |
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Dr. Anthony Szema, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Szema National Provider Identifier | NPI #1831159649 (MD) | CMS NPPES Registry (11720) |
| Dr. Szema South Setauket CMS Volume Rank | 99.00th Pct (30,675 CMS svcs; Z +2.674σ) | CMS Medicare Part B (NY Allergy/ Immunology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (South Setauket, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 16 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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