Dr. Daniel Touma, MD
101 E Wood St Ste 401, Spartanburg, SC 29303 • +1-887-555-4798
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Spartanburg Percentiles
NPI #1205214152 • CBSA Regional • Family Practice
Operating out of Spartanburg, SC (101 E Wood St Ste 401), Family Practice clinician Dr. Daniel Touma, MD (accredited MD/DO training, 1992) maintains a focused low-volume boutique caseload (0th Spartanburg percentile) (0.32th SC percentile; Z-score -0.27σ across 635 documented services) with sub-specialty concentration in 12 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1205214152 highlights 267 annual claims for 99214 (12th Spartanburg percentile; $175–$240 self-pay corridor) plus 197 encounters under 99213 and 76 under G0439.
For out-of-network patients contacting +1-887-555-4798, Dr. Touma's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.85/5 composite reality score over 12 submissions).
Spanning 34 years of clinical practice following 1992 graduation from medical training, Dr. Daniel Touma integrates 12 Active CMS HCPCS Codes diagnostics for Spartanburg metro patients.
Compared against Spartanburg, SC Family Practice peers
635 annual services across 216 beneficiaries
Standard deviations from SC Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 267 | 12th | $175 – $240 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 197 | 12th | $134 – $184 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 76 | 12th | $201 – $276 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 57 | 12th | $38 – $53 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 38 | 12th | $241 – $330 |
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Dr. Daniel Touma, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Touma National Provider Identifier | NPI #1205214152 (MD) | CMS NPPES Registry (29303) |
| Dr. Touma Spartanburg CMS Volume Rank | 0.00th Pct (635 CMS svcs; Z -0.266σ) | CMS Medicare Part B (SC Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Spartanburg, SC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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