Dr. Michael Picariello, MD
111 Arrandale Blvd, Exton, PA 19341 • +1-717-555-8751
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Exton Percentiles
NPI #1487642906 • CBSA Regional • Otolaryngology
Within the Exton, PA (CBSA local) Otolaryngology cohort, Dr. Michael Picariello, MD with sub-specialty concentration in 56 Active CMS HCPCS Codes ranks at the 28.57th municipal percentile and 73.88th PA percentile (+0.27σ Z-score) based on 2,764 billed procedures for 422 patients.
Dr. Picariello's longitudinal care intensity (6.5 billed units per patient across 422 individuals) centers on 99213 (940 annual units) and 31231 ($290–$397 cash range).
Uninsured and high-deductible cash patients visiting Dr. Michael Picariello in Exton (19341) face an estimated $209.00 initial evaluation fee at 111 Arrandale Blvd (in-person clinic visits only; 18-minute average reception wait; bedside manner 4.92/5 from 18 verified reports).
Spanning 16 years of clinical practice following 2010 graduation from medical training, Dr. Michael Picariello integrates 56 Active CMS HCPCS Codes diagnostics for Exton metro patients.
Compared against Exton, PA Otolaryngology peers
2,764 annual services across 422 beneficiaries
Standard deviations from PA Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 940 | 28.57th | $144 – $197 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 691 | 29.57th | $290 – $397 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 525 | 31.57th | $211 – $290 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 359 | 30.57th | $102 – $139 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 249 | 25.57th | $91 – $124 |
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Dr. Michael Picariello, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Picariello National Provider Identifier | NPI #1487642906 (MD) | CMS NPPES Registry (19341) |
| Dr. Picariello Exton CMS Volume Rank | 28.57th Pct (2,764 CMS svcs; Z +0.270σ) | CMS Medicare Part B (PA Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Exton, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.80/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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