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Pulmonary Disease • Pittsburgh, PA 15237 • NPI #1538115282

Dr. Thomas Rice, MD

9104 Babcock Blvd, Suite 2103, Pittsburgh, PA 15237 • +1-663-555-9389

Medical Education: Accredited U.S. Medical School (Class of 1998)

50 Active CMS HCPCS Codes
4.59/5
Waiting-Room Score
18 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Pittsburgh Percentiles

NPI #1538115282 • CBSA Regional • Pulmonary Disease

Dr. Thomas Rice DotMD Verification Badge

Within the Pittsburgh, PA (CBSA local) Pulmonary Disease cohort, Dr. Thomas Rice, MD with sub-specialty concentration in 50 Active CMS HCPCS Codes ranks at the 57.69th municipal percentile and 31.97th PA percentile (-0.23σ Z-score) based on 970 billed procedures for 479 patients.

Fee-schedule auditing of NPI 1538115282 highlights 398 annual claims for 99214 (57.69th Pittsburgh percentile; $161–$221 self-pay corridor) plus 223 encounters under 94060 and 165 under 94729.

Uninsured and high-deductible cash patients visiting Dr. Thomas Rice in Pittsburgh (15237) face an estimated $209.00 initial evaluation fee at 9104 Babcock Blvd, Suite 2103 (in-person clinic visits only; 22-minute average reception wait; bedside manner 4.68/5 from 18 verified reports).

Patients evaluating Dr. Thomas Rice in ZIP 15237 note 28 years of post-doctoral tenure (null, 1998) alongside 2.0 annual CMS procedures per patient.

Pittsburgh Percentile 57.69th

Compared against Pittsburgh, PA Pulmonary Disease peers

PA State Percentile 31.97th

970 annual services across 479 beneficiaries

Regional Volume Z-Score -0.227σ

Standard deviations from PA Pulmonary Disease mean utilization

Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks

HCPCS Clinical Procedure Description Annual Volume Local Pct Est. Cash Range
99214 Established Pulmonary, Asthma & COPD Management 398 57.69th $161 – $221
94060 Pre- & Post-Bronchodilator Spirometry Airflow Evaluation 223 59.69th $105 – $144
94729 Alveolar Carbon Monoxide Diffusing Capacity (DLCO) 165 61.69th $95 – $131
95810 Attended Sleep Apnea Polysomnography Interpretation 107 60.69th $294 – $403
99204 Comprehensive New Patient Respiratory & Sleep Workup 78 60.69th $227 – $311
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Dr. Thomas Rice, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Rice National Provider Identifier NPI #1538115282 (MD) CMS NPPES Registry (15237)
Dr. Rice Pittsburgh CMS Volume Rank 57.69th Pct (970 CMS svcs; Z -0.227σ) CMS Medicare Part B (PA Pulmonary Disease)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Pittsburgh, PA)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 22 min lobby wait 18 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.68/5 Listening • 4.66/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
22 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.68/5
Patient communication rating
Modern Protocol Openness
4.66/5
Preventive labs, GLP-1s & HRT
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