Dr. Benjamin Nicholas, MD
420 S 5th Ave, West Reading, PA 19611 • +1-432-555-9271
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & West Reading Percentiles
NPI #1336631381 • CBSA Regional • Ophthalmology
Within the West Reading, PA (CBSA local) Ophthalmology cohort, Dr. Benjamin Nicholas, MD with sub-specialty concentration in 39 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 34.88th PA percentile (-0.42σ Z-score) based on 1,801 billed procedures for 418 patients.
Procedural volume for Dr. Nicholas is led by HCPCS 92014 (Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam — 666 annual services, $167–$229 GPCI cash estimate), followed by CPT 92134 (Scanning Computerized Ophthalmic Retinal OCT Imaging, 468/yr) and CPT 92083 (Extended Threshold Visual Field Glaucoma Perimetry, 306/yr).
Direct cash-pay transparency modeling sets Dr. Nicholas's baseline new-consult rate near $209.00 in West Reading, PA (cash-pay accepted, in-person clinic visits only, 13-minute average reception wait).
From 420 S 5th Ave in West Reading (+1-432-555-9271), Dr. Nicholas, MD (10-year clinical track record) delivers 39 Active CMS HCPCS Codes care.
Compared against West Reading, PA Ophthalmology peers
1,801 annual services across 418 beneficiaries
Standard deviations from PA Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 666 | 12th | $167 – $229 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 468 | 12th | $92 – $126 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 306 | 12th | $110 – $151 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 216 | 12th | $201 – $275 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 144 | 12th | $736 – $1009 |
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Dr. Benjamin Nicholas, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nicholas National Provider Identifier | NPI #1336631381 (MD) | CMS NPPES Registry (19611) |
| Dr. Nicholas West Reading CMS Volume Rank | 0.00th Pct (1,801 CMS svcs; Z -0.418σ) | CMS Medicare Part B (PA Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (West Reading, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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