Dr. Michael Proothi, MD
207 Hallock Rd Ste 2, Stony Brook, NY 11790 • +1-806-555-7013
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Stony Brook Percentiles
NPI #1124279856 • CBSA Regional • Maxillofacial Surgery
Within the Stony Brook, NY (CBSA local) Maxillofacial Surgery cohort, Dr. Michael Proothi, MD with sub-specialty concentration in 35 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 0th NY percentile (-0.83σ Z-score) based on 636 billed procedures for 158 patients.
Procedural volume for Dr. Proothi is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 286 annual services, $217–$297 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 165/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 83/yr).
Direct cash-pay transparency modeling sets Dr. Proothi's baseline new-consult rate near $232.00 in Stony Brook, NY (cash-pay accepted, in-person clinic visits only, 13-minute average reception wait).
Patients evaluating Dr. Michael Proothi in ZIP 11790 note 22 years of post-doctoral tenure (null, 2004) alongside 4.0 annual CMS procedures per patient.
Top 10% Maxillofacial Surgery volume leader in Stony Brook, NY
636 annual services across 158 beneficiaries
Standard deviations from NY Maxillofacial Surgery 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 | 286 | 99th | $217 – $297 |
| 99213 | Established Preventive & Chronic Care Visit | 165 | 99th | $166 – $227 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 83 | 99.5th | $79 – $108 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 64 | 98th | $254 – $348 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 38 | 99.5th | $301 – $413 |
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Dr. Michael Proothi, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Proothi National Provider Identifier | NPI #1124279856 (MD) | CMS NPPES Registry (11790) |
| Dr. Proothi Stony Brook CMS Volume Rank | 99.00th Pct (636 CMS svcs; Z -0.834σ) | CMS Medicare Part B (NY Maxillofacial Surgery) |
| 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 • 13 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.65/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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