Dr. Robert Sica, DO
373 Sunrise Hwy, West Babylon, NY 11704 • +1-269-555-4411
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & West Babylon Percentiles
NPI #1386623593 • CBSA Regional • Family Practice
Anchored in West Babylon, NY 11704, Dr. Robert Sica, DO (NPI 1386623593) logged 9,033 annual procedures (top-decile high-throughput specialist (91.67th percentile in West Babylon), 96.14th NY percentile, +1.55σ) with sub-specialty concentration in 40 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Sica (averaging 12.9 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 10% of tracked volume (912 encounters), paired with 99213 (673x).
Direct cash-pay transparency modeling sets Dr. Sica's baseline new-consult rate near $232.00 in West Babylon, NY (cash-pay accepted, in-person clinic visits only, 13-minute average reception wait).
Spanning 31 years of clinical practice following 1995 graduation from medical training, Dr. Robert Sica integrates 40 Active CMS HCPCS Codes diagnostics for West Babylon metro patients.
Top 10% Family Practice volume leader in West Babylon, NY
9,033 annual services across 699 beneficiaries
Standard deviations from NY Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 912 | 91.67th | $52 – $71 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 673 | 92.67th | $40 – $55 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 261 | 92.67th | $59 – $81 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 195 | 96.67th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 130 | 93.67th | $71 – $97 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (40 HCPCS billing breadth) | 6,862 | 91.67th | $47 – $68 |
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Dr. Robert Sica, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sica National Provider Identifier | NPI #1386623593 (DO) | CMS NPPES Registry (11704) |
| Dr. Sica West Babylon CMS Volume Rank | 91.67th Pct (9,033 CMS svcs; Z +1.547σ) | CMS Medicare Part B (NY Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (West Babylon, 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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