Dr. Paul Braaton, MD
1335 Coffee Road, Suite 100, Modesto, CA 95355 • +1-457-555-6315
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Modesto Percentiles
NPI #1538117056 • CBSA Regional • Orthopedic Surgery
Within the Modesto, CA (CBSA local) Orthopedic Surgery cohort, Dr. Paul Braaton, MD with sub-specialty concentration in 116 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 13.36th CA percentile (-0.38σ Z-score) based on 942 billed procedures for 149 patients.
Fee-schedule auditing of NPI 1538117056 highlights 339 annual claims for 99213 (12th Modesto percentile; $216–$297 self-pay corridor) plus 254 encounters under 20610 and 179 under 73562.
Self-pay new patient consultations with Dr. Braaton (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 19-minute average reception wait, and a 4.51/5 modern protocol openness score across 19 patient logs.
Credentialed as an MD specialist with 33 years post-graduation experience since completing medical school at an LCME/COCA institution (1993), Dr. Braaton coordinates 116 Active CMS HCPCS Codes workups from 1335 Coffee Road, Suite 100 (+1-457-555-6315).
Compared against Modesto, CA Orthopedic Surgery peers
942 annual services across 149 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 | 339 | 12th | $216 – $297 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 254 | 12th | $230 – $316 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 179 | 12th | $129 – $177 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 104 | 12th | $310 – $425 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 66 | 12th | $1999 – $2740 |
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Dr. Paul Braaton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Braaton National Provider Identifier | NPI #1538117056 (MD) | CMS NPPES Registry (95355) |
| Dr. Braaton Modesto CMS Volume Rank | 0.00th Pct (942 CMS svcs; Z -0.378σ) | CMS Medicare Part B (CA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Modesto, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 19 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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