Dr. Erica Formato, MD
1790 E Market St Ste 64b, Harrisonburg, VA 22801 • +1-924-555-9624
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Harrisonburg Percentiles
NPI #1699161679 • CBSA Regional • Family Practice
CMS Medicare Part B utilization records credit Dr. Erica Formato (MD, NPI 1699161679) at 1790 E Market St Ste 64b in Harrisonburg with 764 annual clinical services (145 beneficiaries), corresponding to a -0.17σ regional deviation and focused low-volume boutique caseload (0th Harrisonburg percentile) with sub-specialty concentration in 53 Active CMS HCPCS Codes.
Procedural volume for Dr. Formato is led by HCPCS 99214 (Comprehensive Primary Care & Chronic Protocol Management — 302 annual services, $123–$169 GPCI cash estimate), followed by CPT 99213 (Focused Acute & Preventive Primary Care Evaluation, 223/yr) and CPT G0439 (Annual Wellness Biomarker & Preventive Screening Visit, 86/yr).
Uninsured and high-deductible cash patients visiting Dr. Erica Formato in Harrisonburg (22801) face an estimated $209.00 initial evaluation fee at 1790 E Market St Ste 64b (in-person clinic visits only; 15-minute average reception wait; bedside manner 4.71/5 from 15 verified reports).
Credentialed as an MD specialist with 25 years post-graduation experience since completing medical school at an LCME/COCA institution (2001), Dr. Formato coordinates 53 Active CMS HCPCS Codes workups from 1790 E Market St Ste 64b (+1-924-555-9624).
Compared against Harrisonburg, VA Family Practice peers
764 annual services across 145 beneficiaries
Standard deviations from VA 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 | 302 | 12th | $123 – $169 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 223 | 12th | $94 – $129 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 86 | 12th | $141 – $194 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 65 | 12th | $27 – $42 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 43 | 12th | $169 – $232 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (53 HCPCS billing breadth) | 46 | 0th | $111 – $161 |
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Dr. Erica Formato, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Formato National Provider Identifier | NPI #1699161679 (MD) | CMS NPPES Registry (22801) |
| Dr. Formato Harrisonburg CMS Volume Rank | 0.00th Pct (764 CMS svcs; Z -0.167σ) | CMS Medicare Part B (VA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Harrisonburg, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.64/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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