Dr. Paul Durbin, MD
3807 Spring St, Racine, WI 53405 • +1-727-555-8659
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Racine Percentiles
NPI #1255361218 • CBSA Regional • Internal Medicine
Operating out of Racine, WI (3807 Spring St), Internal Medicine clinician Dr. Paul Durbin, MD (accredited MD/DO training, 1997) maintains a upper-quartile active clinical volume (66.67th Racine percentile) (52.42th WI percentile; Z-score -0.13σ across 1,218 documented services) with sub-specialty concentration in 13 Active CMS HCPCS Codes.
Dr. Durbin's longitudinal care intensity (3.5 billed units per patient across 347 individuals) centers on 99214 (548 annual units) and 99213 ($106–$146 cash range).
Direct cash-pay transparency modeling sets Dr. Durbin's baseline new-consult rate near $209.00 in Racine, WI (cash-pay accepted, hybrid in-clinic and telehealth video consults, 19-minute average reception wait).
Spanning 29 years of clinical practice following 1997 graduation from medical training, Dr. Paul Durbin integrates 13 Active CMS HCPCS Codes diagnostics for Racine metro patients.
Compared against Racine, WI Internal Medicine peers
1,218 annual services across 347 beneficiaries
Standard deviations from WI 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 | 548 | 66.67th | $139 – $190 |
| 99213 | Established Preventive & Chronic Care Visit | 317 | 69.67th | $106 – $146 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 158 | 68.67th | $51 – $70 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 122 | 64.67th | $163 – $223 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 73 | 64.67th | $193 – $265 |
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Dr. Paul Durbin, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Durbin National Provider Identifier | NPI #1255361218 (MD) | CMS NPPES Registry (53405) |
| Dr. Durbin Racine CMS Volume Rank | 66.67th Pct (1,218 CMS svcs; Z -0.128σ) | CMS Medicare Part B (WI Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Racine, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.90/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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