Dr. Toby Paulson, DO
1175 E 50 S, Ste 251, American Fork, UT 84003 • +1-436-555-6320
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & American Fork Percentiles
NPI #1235264169 • CBSA Regional • Cardiology
Anchored in American Fork, UT 84003, Dr. Toby Paulson, DO (NPI 1235264169) logged 2,614 annual procedures (top-decile high-throughput specialist (99th percentile in American Fork), 54.69th UT percentile, -0.16σ) with sub-specialty concentration in 103 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Toby Paulson (84003) place 99214 at the top of the practice ledger (876 yearly units, 99th metro rank), rounded out by 93000 and 93306.
For out-of-network patients contacting +1-436-555-6320, Dr. Paulson's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.53/5 composite reality score over 20 submissions).
Credentialed as an DO specialist with 11 years post-graduation experience since completing medical school at an LCME/COCA institution (2015), Dr. Paulson coordinates 103 Active CMS HCPCS Codes workups from 1175 E 50 S, Ste 251 (+1-436-555-6320).
Top 10% Cardiology volume leader in American Fork, UT
2,614 annual services across 736 beneficiaries
Standard deviations from UT Cardiology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Cardiology Consultation & Hemodynamic Review | 876 | 99th | $156 – $214 |
| 93000 | 12-Lead Resting Electrocardiogram (ECG) w/ Interpretation | 646 | 97th | $61 – $84 |
| 93306 | Complete Transthoracic Echocardiography w/ Doppler & Color Flow | 415 | 95th | $293 – $401 |
| 93224 | 24-Hour Ambulatory ECG Rhythm Monitoring & Analysis | 231 | 99.5th | $184 – $252 |
| 99204 | Comprehensive New Patient Cardiovascular Risk Evaluation | 138 | 99.5th | $225 – $308 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (103 HCPCS billing breadth) | 308 | 99th | $141 – $204 |
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Dr. Toby Paulson, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Paulson National Provider Identifier | NPI #1235264169 (DO) | CMS NPPES Registry (84003) |
| Dr. Paulson American Fork CMS Volume Rank | 99.00th Pct (2,614 CMS svcs; Z -0.164σ) | CMS Medicare Part B (UT Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (American Fork, UT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.49/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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