Dr. Matthew Buchalter, MD
164 Summit Ave, Providence, RI 02906 • +1-825-555-6049
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Providence Percentiles
NPI #1346264405 • CBSA Regional • Internal Medicine
Anchored in Providence, RI 02906, Dr. Matthew Buchalter, MD (NPI 1346264405) logged 1,095 annual procedures (mid-cohort balanced caseload (62.5th Providence percentile), 63.54th RI percentile, -0.12σ) with sub-specialty concentration in 10 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1346264405 highlights 493 annual claims for 99214 (62.5th Providence percentile; $217–$297 self-pay corridor) plus 285 encounters under 99213 and 142 under 93000.
For out-of-network patients contacting +1-825-555-6049, Dr. Buchalter's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.66/5 composite reality score over 21 submissions).
Clinical background for Dr. Buchalter (MD, NPI #1346264405) includes accredited doctoral training (2004, 22 yrs in practice) and dedicated on-site consultations at 164 Summit Ave.
Compared against Providence, RI Internal Medicine peers
1,095 annual services across 719 beneficiaries
Standard deviations from RI Internal 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 | 493 | 62.5th | $217 – $297 |
| 99213 | Established Preventive & Chronic Care Visit | 285 | 65.5th | $166 – $227 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 142 | 67.5th | $79 – $109 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 110 | 67.5th | $255 – $349 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 66 | 61.5th | $302 – $414 |
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Dr. Matthew Buchalter, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Buchalter National Provider Identifier | NPI #1346264405 (MD) | CMS NPPES Registry (02906) |
| Dr. Buchalter Providence CMS Volume Rank | 62.50th Pct (1,095 CMS svcs; Z -0.119σ) | CMS Medicare Part B (RI Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Providence, RI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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