Dr. Matthew Caldwell, MD
22292 Us Highway 72, Athens, AL 35613 • +1-295-555-7618
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Athens Percentiles
NPI #1619236064 • CBSA Regional • Family Practice
Anchored in Athens, AL 35613, Dr. Matthew Caldwell, MD (NPI 1619236064) logged 5,601 annual procedures (top-decile high-throughput specialist (93.75th percentile in Athens), 82.22th AL percentile, +0.44σ) with sub-specialty concentration in 31 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1619236064 highlights 864 annual claims for 99214 (93.75th Athens percentile; $47–$65 self-pay corridor) plus 637 encounters under 99213 and 247 under G0439.
Direct cash-pay transparency modeling sets Dr. Caldwell's baseline new-consult rate near $209.00 in Athens, AL (cash-pay accepted, in-person clinic visits only, 9-minute average reception wait).
Patients evaluating Dr. Matthew Caldwell in ZIP 35613 note 22 years of post-doctoral tenure (null, 2004) alongside 15.6 annual CMS procedures per patient.
Top 10% Family Practice volume leader in Athens, AL
5,601 annual services across 358 beneficiaries
Standard deviations from AL Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 864 | 93.75th | $47 – $65 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 637 | 97.75th | $36 – $51 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 247 | 88.75th | $54 – $74 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 185 | 97.75th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 123 | 91.75th | $65 – $89 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (31 HCPCS billing breadth) | 3,545 | 93.75th | $45 – $65 |
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Dr. Matthew Caldwell, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Caldwell National Provider Identifier | NPI #1619236064 (MD) | CMS NPPES Registry (35613) |
| Dr. Caldwell Athens CMS Volume Rank | 93.75th Pct (5,601 CMS svcs; Z +0.441σ) | CMS Medicare Part B (AL Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Athens, AL) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.76/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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