Dr. David Paolone, MD
1 S Park St, Madison, WI 53715 • +1-287-555-3403
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Madison Percentiles
NPI #1235194846 • CBSA Regional • Urology
Statistical peer benchmarking across WI Urology providers positions Dr. David Paolone, MD in Madison at +0.26σ (93.33th city percentile / 78.22th state percentile, 1,289 Medicare beneficiaries), with clinical focus spanning 69 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Paolone (averaging 4.6 services per beneficiary), 99214 (Established Urologic, BPH & Androgen Evaluation) represents 16% of tracked volume (970 encounters), paired with 51798 (727x).
Uninsured and high-deductible cash patients visiting Dr. David Paolone in Madison (53715) face an estimated $209.00 initial evaluation fee at 1 S Park St (in-person clinic visits only; 10-minute average reception wait; bedside manner 4.72/5 from 24 verified reports).
Clinical background for Dr. Paolone (MD, NPI #1235194846) includes accredited doctoral training (1995, 31 yrs in practice) and dedicated on-site consultations at 1 S Park St.
Top 10% Urology volume leader in Madison, WI
5,907 annual services across 1,289 beneficiaries
Standard deviations from WI Urology 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 Urologic, BPH & Androgen Evaluation | 970 | 93.33th | $96 – $132 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 727 | 89.33th | $40 – $55 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 458 | 95.33th | $196 – $269 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 323 | 98.33th | $54 – $74 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 216 | 95.33th | $135 – $185 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (69 HCPCS billing breadth) | 3,213 | 93.33th | $87 – $126 |
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Dr. David Paolone, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Paolone National Provider Identifier | NPI #1235194846 (MD) | CMS NPPES Registry (53715) |
| Dr. Paolone Madison CMS Volume Rank | 93.33th Pct (5,907 CMS svcs; Z +0.261σ) | CMS Medicare Part B (WI Urology) |
| 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 • 10 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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