Dr. Stephen Boorstein, MD
752 N High Point Rd, Madison, WI 53717 • +1-318-555-3962
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Madison Percentiles
NPI #1528009644 • CBSA Regional • Ophthalmology
Statistical peer benchmarking across WI Ophthalmology providers positions Dr. Stephen Boorstein, MD in Madison at -0.24σ (45th city percentile / 49.55th state percentile, 681 Medicare beneficiaries), with clinical focus spanning 31 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Boorstein (averaging 3.3 services per beneficiary), 92014 (Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam) represents 37% of tracked volume (840 encounters), paired with 92134 (590x).
Self-pay new patient consultations with Dr. Boorstein (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 17-minute average reception wait, and a 4.70/5 modern protocol openness score across 17 patient logs.
NPI registry verification (#1528009644) confirms Dr. Stephen Boorstein's MD standing serving CBSA 53717 with a 4.90/5 patient scorecard.
Compared against Madison, WI Ophthalmology peers
2,271 annual services across 681 beneficiaries
Standard deviations from WI Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 840 | 45th | $177 – $243 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 590 | 47th | $98 – $134 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 386 | 45th | $117 – $160 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 273 | 42th | $213 – $292 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 182 | 47th | $781 – $1070 |
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Dr. Stephen Boorstein, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Boorstein National Provider Identifier | NPI #1528009644 (MD) | CMS NPPES Registry (53717) |
| Dr. Boorstein Madison CMS Volume Rank | 45.00th Pct (2,271 CMS svcs; Z -0.243σ) | CMS Medicare Part B (WI Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Madison, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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