Dr. Joseph Romanello, MD
17 Wells St, Suite 202, Westerly, RI 02891 • +1-979-555-5328
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Westerly Percentiles
NPI #1609889419 • CBSA Regional • Nephrology
Operating out of Westerly, RI (17 Wells St, Suite 202), Nephrology clinician Dr. Joseph Romanello, MD (accredited MD/DO training, 2001) maintains a focused low-volume boutique caseload (0th Westerly percentile) (85.71th RI percentile; Z-score +1.60σ across 4,635 documented services) with sub-specialty concentration in 23 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Romanello (averaging 9.1 services per beneficiary), 99214 (Chronic Kidney Disease eGFR, uACR & Electrolyte Management) represents 16% of tracked volume (737 encounters), paired with 90960 (338x).
Cash-pay intake data for NPI 1609889419 (17 Wells St, Suite 202, Westerly) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 15-minute average reception wait and 4.51/5 biomarker openness.
NPI registry verification (#1609889419) confirms Dr. Joseph Romanello's MD standing serving CBSA 02891 with a 4.68/5 patient scorecard.
Compared against Westerly, RI Nephrology peers
4,635 annual services across 507 beneficiaries
Standard deviations from RI Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 737 | 12th | $82 – $112 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 338 | 12th | $164 – $224 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 276 | 12th | $119 – $164 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 184 | 12th | $113 – $154 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (23 HCPCS billing breadth) | 3,100 | 0th | $71 – $103 |
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Dr. Joseph Romanello, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Romanello National Provider Identifier | NPI #1609889419 (MD) | CMS NPPES Registry (02891) |
| Dr. Romanello Westerly CMS Volume Rank | 0.00th Pct (4,635 CMS svcs; Z +1.604σ) | CMS Medicare Part B (RI Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Westerly, RI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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