Dr. Jeffrey Falco, MD
1424 N Mcdonald Rd Ste 101, Spokane Valley, WA 99216 • +1-304-555-9689
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Spokane Valley Percentiles
NPI #1043702186 • CBSA Regional • Otolaryngology
Dr. Jeffrey Falco, MD (NPI #1043702186) practices Otolaryngology in Spokane Valley, WA (99216) with sub-specialty concentration in 56 Active CMS HCPCS Codes, recording 1,287 annual CMS services across 281 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Spokane Valley percentile) (-0.23σ vs WA state mean, 58.59th statewide percentile).
Fee-schedule auditing of NPI 1043702186 highlights 438 annual claims for 99213 (12th Spokane Valley percentile; $84–$115 self-pay corridor) plus 322 encounters under 31231 and 245 under 31575.
For out-of-network patients contacting +1-304-555-9689, Dr. Falco's practice posts a $222.00 GPCI self-pay consult estimate ($222.00 patient-logged median, 4.74/5 composite reality score over 5 submissions).
From 1424 N Mcdonald Rd Ste 101 in Spokane Valley (+1-304-555-9689), Dr. Falco, MD (17-year clinical track record) delivers 56 Active CMS HCPCS Codes care.
Compared against Spokane Valley, WA Otolaryngology peers
1,287 annual services across 281 beneficiaries
Standard deviations from WA Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 438 | 12th | $84 – $115 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 322 | 12th | $168 – $231 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 245 | 12th | $123 – $168 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 167 | 12th | $59 – $81 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 116 | 12th | $53 – $72 |
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Dr. Jeffrey Falco, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Falco National Provider Identifier | NPI #1043702186 (MD) | CMS NPPES Registry (99216) |
| Dr. Falco Spokane Valley CMS Volume Rank | 0.00th Pct (1,287 CMS svcs; Z -0.232σ) | CMS Medicare Part B (WA Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Spokane Valley, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 19 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.54/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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