Dr. Tim Arlow, MD
600 Somerset Ave, Windber, PA 15963 • +1-838-555-8821
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Windber Percentiles
NPI #1063822070 • CBSA Regional • Ophthalmology
Statistical peer benchmarking across PA Ophthalmology providers positions Dr. Tim Arlow, MD in Windber at -0.48σ (99th city percentile / 11.68th state percentile, 279 Medicare beneficiaries), with clinical focus spanning 38 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1063822070 highlights 375 annual claims for 92014 (99th Windber percentile; $226–$310 self-pay corridor) plus 263 encounters under 92134 and 172 under 92083.
Self-pay new patient consultations with Dr. Arlow (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 20-minute average reception wait, and a 4.80/5 modern protocol openness score across 16 patient logs.
From 600 Somerset Ave in Windber (+1-838-555-8821), Dr. Arlow, MD (27-year clinical track record) delivers 38 Active CMS HCPCS Codes care.
Top 10% Ophthalmology volume leader in Windber, PA
1,013 annual services across 279 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 | 375 | 99th | $226 – $310 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 263 | 99.5th | $125 – $171 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 172 | 99.5th | $150 – $205 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 122 | 97th | $272 – $373 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 81 | 98th | $998 – $1367 |
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Dr. Tim Arlow, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Arlow National Provider Identifier | NPI #1063822070 (MD) | CMS NPPES Registry (15963) |
| Dr. Arlow Windber CMS Volume Rank | 99.00th Pct (1,013 CMS svcs; Z -0.480σ) | CMS Medicare Part B (PA Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Windber, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.80/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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