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Doctor vs Doctor Decision Tool

Dr. Correia vs Dr. Middleton Jr.

Make an informed decision based on verified clinical facts. See which doctor spends more time listening in the exam room and charges fair prices aligned with standard insurance baselines.

Doctor Option ANPI: 1366569220

Dr. Manuel Correia, M.D.

Emergency Medicine · Fall River, MA

Consultation TimeStandardSpecialist (Procedures only)
Markup Level6.91xHigh Markup
Annual Visits1,391Total volume
The Rushed Visit Index

Balanced Practice

Standard Pacing

Maintains a steady clinical rhythm balancing focused physical examination with patient discussion.

How is appointment length calculated?

Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).

Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.

Financial Protection Alert

Higher Out-of-Pocket Billing Risk

This practice submits charges that average 6.9 times customary allowable rates. If you have not met your annual health insurance deductible, or if this doctor is out-of-network with your health plan, you may face significant balance billing.

3 Steps to Protect Your Wallet:
  • Confirm network status: Call your insurer to confirm this specific physician and office address are in-network.
  • Request in-network labs: Before blood draws or biopsies, ask the nurse to send samples exclusively to an in-network commercial laboratory.
  • Ask for a written estimate: Under the No Surprises Act, you are legally entitled to a Good Faith Estimate if you are self-pay or out-of-network.
Doctor Option BNPI: 1861458606

Dr. Donald Middleton Jr., M.D.

Emergency Medicine · New Bedford, MA

Consultation Time27 minStandard (20-30 mins)
Markup Level2.94xModerate Markup
Annual Visits2,833Total volume
The Rushed Visit Index

Balanced Practice

~27 min face-time

Maintains a steady clinical rhythm balancing focused physical examination with patient discussion.

How is appointment length calculated?

Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).

Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.

🎯 Patient Verdict: Key Differences at a Glance

Face-to-Face Patient Listening:

Both physicians maintain standard clinical appointment durations consistent with national specialty benchmarks.

Pricing & Out-of-Pocket Risk:

Dr. Middleton Jr. has a lower billing markup (2.94x vs. 6.91x). Patients with high deductibles or out-of-network coverage will likely incur lower balance bills with Dr. Middleton Jr..

Shared Clinical Procedures & Charges Comparison

Procedure DescriptionDr. Correia ChargeDr. Middleton Jr. ChargeStandard Baseline
Medical Procedure HCPCS $NaN$NaN$176
Medical Procedure HCPCS $NaN$NaN$8
Medical Procedure HCPCS $NaN$NaN$214
Medical Procedure HCPCS $NaN$NaN$121
Medical Procedure HCPCS $NaN$NaN$82