Dr. Daniel Upton, MD
675 Baltimore DR, Wilkes Barre, PA 18702 • +1-213-555-6648
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Wilkes Barre Percentiles
NPI #1598080723 • CBSA Regional • Ophthalmology
Within the Wilkes Barre, PA (CBSA local) Ophthalmology cohort, Dr. Daniel Upton, MD with sub-specialty concentration in 53 Active CMS HCPCS Codes ranks at the 25th municipal percentile and 24.48th PA percentile (-0.45σ Z-score) based on 1,426 billed procedures for 572 patients.
Among 5 tracked CMS fee-schedule codes for Dr. Upton (averaging 2.5 services per beneficiary), 92014 (Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam) represents 37% of tracked volume (528 encounters), paired with 92134 (371x).
For out-of-network patients contacting +1-213-555-6648, Dr. Upton's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.93/5 composite reality score over 20 submissions).
Spanning 20 years of clinical practice following 2006 graduation from medical training, Dr. Daniel Upton integrates 53 Active CMS HCPCS Codes diagnostics for Wilkes Barre metro patients.
Compared against Wilkes Barre, PA Ophthalmology peers
1,426 annual services across 572 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 | 528 | 25th | $213 – $291 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 371 | 21th | $117 – $160 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 242 | 30th | $140 – $193 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 171 | 24th | $256 – $350 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 114 | 27th | $937 – $1284 |
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Dr. Daniel Upton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Upton National Provider Identifier | NPI #1598080723 (MD) | CMS NPPES Registry (18702) |
| Dr. Upton Wilkes Barre CMS Volume Rank | 25.00th Pct (1,426 CMS svcs; Z -0.448σ) | CMS Medicare Part B (PA Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Wilkes Barre, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.40/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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