Dr. David Downs, MD
680 Langsdorf DR, Suite 103, Fullerton, CA 92831 • +1-748-555-3362
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Fullerton Percentiles
NPI #1023101375 • CBSA Regional • Orthopedic Surgery
Within the Fullerton, CA (CBSA local) Orthopedic Surgery cohort, Dr. David Downs, MD with sub-specialty concentration in 44 Active CMS HCPCS Codes ranks at the 80th municipal percentile and 48.45th CA percentile (-0.26σ Z-score) based on 2,224 billed procedures for 336 patients.
Medicare Part B line-item claims for Dr. David Downs (92831) place 99213 at the top of the practice ledger (515 yearly units, 80th metro rank), rounded out by 20610 and 73562.
Cash-pay intake data for NPI 1023101375 (680 Langsdorf DR, Suite 103, Fullerton) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 22-minute average reception wait and 4.94/5 biomarker openness.
Clinical background for Dr. Downs (MD, NPI #1023101375) includes accredited doctoral training (2012, 14 yrs in practice) and virtual + in-office availability across CA.
Compared against Fullerton, CA Orthopedic Surgery peers
2,224 annual services across 336 beneficiaries
Standard deviations from CA Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 515 | 80th | $134 – $183 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 386 | 77th | $143 – $195 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 272 | 80th | $80 – $110 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 157 | 85th | $192 – $263 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 100 | 75th | $1236 – $1694 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (44 HCPCS billing breadth) | 794 | 80th | $151 – $219 |
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Dr. David Downs, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Downs National Provider Identifier | NPI #1023101375 (MD) | CMS NPPES Registry (92831) |
| Dr. Downs Fullerton CMS Volume Rank | 80.00th Pct (2,224 CMS svcs; Z -0.264σ) | CMS Medicare Part B (CA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fullerton, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 22 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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