Dr. Paul Crainich, MD
111 Colchester Ave, Burlington, VT 05401 • +1-626-555-5607
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Burlington Percentiles
NPI #1285796045 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across VT Internal Medicine providers positions Dr. Paul Crainich, MD in Burlington at -0.66σ (33.33th city percentile / 12.96th state percentile, 285 Medicare beneficiaries), with clinical focus spanning 9 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1285796045 highlights 324 annual claims for 99214 (33.33th Burlington percentile; $166–$227 self-pay corridor) plus 187 encounters under 99213 and 93 under 93000.
Direct cash-pay transparency modeling sets Dr. Crainich's baseline new-consult rate near $209.00 in Burlington, VT (cash-pay accepted, hybrid in-clinic and telehealth video consults, 15-minute average reception wait).
Clinical background for Dr. Crainich (MD, NPI #1285796045) includes accredited doctoral training (2006, 20 yrs in practice) and virtual + in-office availability across VT.
Compared against Burlington, VT Internal Medicine peers
719 annual services across 285 beneficiaries
Standard deviations from VT 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 | 324 | 33.33th | $166 – $227 |
| 99213 | Established Preventive & Chronic Care Visit | 187 | 37.33th | $127 – $174 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 93 | 32.33th | $61 – $83 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 72 | 34.33th | $195 – $267 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 43 | 28.33th | $231 – $316 |
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Dr. Paul Crainich, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Crainich National Provider Identifier | NPI #1285796045 (MD) | CMS NPPES Registry (05401) |
| Dr. Crainich Burlington CMS Volume Rank | 33.33th Pct (719 CMS svcs; Z -0.655σ) | CMS Medicare Part B (VT Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Burlington, VT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.40/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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