Dr. Kenneth Caldwell, MD
3717 Mt Diablo Blvd Ste 100, Lafayette, CA 94549 • +1-315-555-5756
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Lafayette Percentiles
NPI #1457398224 • CBSA Regional • Orthopedic Surgery
Anchored in Lafayette, CA 94549, Dr. Kenneth Caldwell, MD (NPI 1457398224) logged 2,160 annual procedures (focused low-volume boutique caseload (0th Lafayette percentile), 47.07th CA percentile, -0.27σ) with sub-specialty concentration in 15 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 3717 Mt Diablo Blvd Ste 100 shows Dr. Kenneth Caldwell's primary concentration in Focused Orthopedic Joint & Spine Mobility Evaluation (code 99213: 115x/yr, 12th local percentile) alongside Major Joint (Knee/Shoulder/Hip) Aspiration or Injection (20610: 86x/yr, $43–$59).
For out-of-network patients contacting +1-315-555-5756, Dr. Caldwell's practice posts a $239.00 GPCI self-pay consult estimate ($239.00 patient-logged median, 4.91/5 composite reality score over 6 submissions).
NPI registry verification (#1457398224) confirms Dr. Kenneth Caldwell's MD standing serving CBSA 94549 with a 4.91/5 patient scorecard.
Compared against Lafayette, CA Orthopedic Surgery peers
2,160 annual services across 86 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 | 115 | 12th | $40 – $55 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 86 | 12th | $43 – $59 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 61 | 12th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 35 | 12th | $58 – $80 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 22 | 12th | $374 – $512 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (15 HCPCS billing breadth) | 1,840 | 0th | $46 – $67 |
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Dr. Kenneth Caldwell, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Caldwell National Provider Identifier | NPI #1457398224 (MD) | CMS NPPES Registry (94549) |
| Dr. Caldwell Lafayette CMS Volume Rank | 0.00th Pct (2,160 CMS svcs; Z -0.270σ) | CMS Medicare Part B (CA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lafayette, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 20 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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