Dr. Robert Sexton, MD
101 Nicolls Rd, Stony Brook, NY 11794 • +1-680-555-9149
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Stony Brook Percentiles
NPI #1528563863 • CBSA Regional • Hospitalist
Statistical peer benchmarking across NY Hospitalist providers positions Dr. Robert Sexton, MD in Stony Brook at -0.06σ (90th city percentile / 70.48th state percentile, 269 Medicare beneficiaries), with clinical focus spanning 9 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Robert Sexton (11794) place 99214 at the top of the practice ledger (497 yearly units, 90th metro rank), rounded out by 99213 and 93000.
Cash-pay intake data for NPI 1528563863 (101 Nicolls Rd, Stony Brook) indicates $232.00 typical out-of-pocket visit spend against a $232.00 locality benchmark, paired with 22-minute average reception wait and 4.57/5 biomarker openness.
Clinical background for Dr. Sexton (MD, NPI #1528563863) includes accredited doctoral training (2003, 23 yrs in practice) and virtual + in-office availability across NY.
Top 10% Hospitalist volume leader in Stony Brook, NY
1,104 annual services across 269 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 | 497 | 90th | $158 – $217 |
| 99213 | Established Preventive & Chronic Care Visit | 287 | 86th | $121 – $166 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 144 | 94th | $58 – $79 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 110 | 89th | $186 – $255 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 66 | 94th | $220 – $302 |
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Dr. Robert Sexton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sexton National Provider Identifier | NPI #1528563863 (MD) | CMS NPPES Registry (11794) |
| Dr. Sexton Stony Brook CMS Volume Rank | 90.00th Pct (1,104 CMS svcs; Z -0.060σ) | CMS Medicare Part B (NY Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Stony Brook, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 22 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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