Dr. Paul Spiro, MD
4897 York Road, Buckingham, PA 18912 • +1-289-555-1001
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Buckingham Percentiles
NPI #1578548939 • CBSA Regional • Family Practice
Dr. Paul Spiro, MD (NPI #1578548939) practices Family Practice in Buckingham, PA (18912) with sub-specialty concentration in 36 Active CMS HCPCS Codes, recording 2,173 annual CMS services across 377 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (75th Buckingham percentile) (+0.09σ vs PA state mean, 76.79th statewide percentile).
Dr. Spiro's longitudinal care intensity (5.8 billed units per patient across 377 individuals) centers on 99214 (790 annual units) and 99213 ($77–$105 cash range).
Cash-pay intake data for NPI 1578548939 (4897 York Road, Buckingham) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 17-minute average reception wait and 4.59/5 biomarker openness.
Credentialed as an MD specialist with 8 years post-graduation experience since completing medical school at an LCME/COCA institution (2018), Dr. Spiro coordinates 36 Active CMS HCPCS Codes workups from 4897 York Road (+1-289-555-1001).
Compared against Buckingham, PA Family Practice peers
2,173 annual services across 377 beneficiaries
Standard deviations from PA 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 | 790 | 75th | $100 – $138 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 583 | 79th | $77 – $105 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 226 | 75th | $115 – $158 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 169 | 80th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 113 | 77th | $138 – $189 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (36 HCPCS billing breadth) | 292 | 75th | $91 – $132 |
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Dr. Paul Spiro, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spiro National Provider Identifier | NPI #1578548939 (MD) | CMS NPPES Registry (18912) |
| Dr. Spiro Buckingham CMS Volume Rank | 75.00th Pct (2,173 CMS svcs; Z +0.091σ) | CMS Medicare Part B (PA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Buckingham, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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