Dr. Michael Grimaldi, MD
2226 Blakeslee Boulevard DR E Ste 200, Lehighton, PA 18235 • +1-914-555-2909
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Lehighton Percentiles
NPI #1952831216 • CBSA Regional • Emergency Medicine
Dr. Michael Grimaldi, MD (NPI #1952831216) practices Emergency Medicine in Lehighton, PA (18235) with sub-specialty concentration in 63 Active CMS HCPCS Codes, recording 2,391 annual CMS services across 369 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Lehighton) (+1.38σ vs PA state mean, 96.58th statewide percentile).
Medicare Part B line-item claims for Dr. Michael Grimaldi (18235) place 99214 at the top of the practice ledger (934 yearly units, 99th metro rank), rounded out by 99213 and 93000.
At 2226 Blakeslee Boulevard DR E Ste 200 (18235), Dr. Michael Grimaldi, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.60/5 bedside rating).
Clinical background for Dr. Grimaldi (MD, NPI #1952831216) includes accredited doctoral training (2018, 8 yrs in practice) and virtual + in-office availability across PA.
Top 10% Emergency Medicine volume leader in Lehighton, PA
2,391 annual services across 369 beneficiaries
Standard deviations from PA Emergency Medicine 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 | 934 | 99th | $122 – $167 |
| 99213 | Established Preventive & Chronic Care Visit | 540 | 95th | $93 – $128 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 270 | 99.5th | $44 – $61 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 208 | 99th | $143 – $196 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 125 | 96th | $169 – $232 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (63 HCPCS billing breadth) | 316 | 99th | $110 – $160 |
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Dr. Michael Grimaldi, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Grimaldi National Provider Identifier | NPI #1952831216 (MD) | CMS NPPES Registry (18235) |
| Dr. Grimaldi Lehighton CMS Volume Rank | 99.00th Pct (2,391 CMS svcs; Z +1.381σ) | CMS Medicare Part B (PA Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lehighton, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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