Dr. Donna Sexton-Cicero, MD
960 Clague Rd Ste 3201, Westlake, OH 44145 • +1-603-555-8935
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Westlake Percentiles
NPI #1922107549 • CBSA Regional • Rheumatology
Operating out of Westlake, OH (960 Clague Rd Ste 3201), Rheumatology clinician Dr. Donna Sexton-Cicero, MD (accredited MD/DO training, 1999) maintains a focused low-volume boutique caseload (0th Westlake percentile) (39.13th OH percentile; Z-score -0.55σ across 2,792 documented services) with sub-specialty concentration in 33 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 960 Clague Rd Ste 3201 shows Dr. Donna Sexton-Cicero's primary concentration in Autoimmune Arthritis & Biologic/DMARD Safety Evaluation (code 99214: 489x/yr, 12th local percentile) alongside Large Joint Synovial Arthrocentesis or Corticosteroid Injection (20610: 223x/yr, $68–$93).
Uninsured and high-deductible cash patients visiting Dr. Donna Sexton-Cicero in Westlake (44145) face an estimated $209.00 initial evaluation fee at 960 Clague Rd Ste 3201 (hybrid in-clinic and telehealth video consults; 17-minute average reception wait; bedside manner 4.84/5 from 19 verified reports).
NPI registry verification (#1922107549) confirms Dr. Donna Sexton-Cicero's MD standing serving CBSA 44145 with a 4.88/5 patient scorecard.
Compared against Westlake, OH Rheumatology peers
2,792 annual services across 298 beneficiaries
Standard deviations from OH Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 489 | 12th | $86 – $117 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 223 | 12th | $68 – $93 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 159 | 12th | $118 – $161 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 106 | 12th | $89 – $122 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 85 | 12th | $118 – $161 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (33 HCPCS billing breadth) | 1,729 | 0th | $74 – $107 |
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Dr. Donna Sexton-Cicero, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sexton-Cicero National Provider Identifier | NPI #1922107549 (MD) | CMS NPPES Registry (44145) |
| Dr. Sexton-Cicero Westlake CMS Volume Rank | 0.00th Pct (2,792 CMS svcs; Z -0.547σ) | CMS Medicare Part B (OH Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Westlake, OH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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