Dr. James O'dowd, MD
800 S Raymond Ave, Pasadena, CA 91105 • +1-239-555-3294
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Pasadena Percentiles
NPI #1093126336 • CBSA Regional • Orthopedic Surgery
Anchored in Pasadena, CA 91105, Dr. James O'dowd, MD (NPI 1093126336) logged 27,063 annual procedures (top-decile high-throughput specialist (94.12th percentile in Pasadena), 97.59th CA percentile, +1.95σ) with sub-specialty concentration in 126 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1093126336 highlights 1529 annual claims for 99213 (94.12th Pasadena percentile; $40–$55 self-pay corridor) plus 1147 encounters under 20610 and 807 under 73562.
Direct cash-pay transparency modeling sets Dr. O'dowd's baseline new-consult rate near $239.00 in Pasadena, CA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 20-minute average reception wait).
Patients evaluating Dr. James O'dowd in ZIP 91105 note 21 years of post-doctoral tenure (null, 2005) alongside 31.5 annual CMS procedures per patient.
Top 10% Orthopedic Surgery volume leader in Pasadena, CA
27,063 annual services across 859 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 | 1,529 | 94.12th | $40 – $55 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 1,147 | 89.12th | $42 – $58 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 807 | 91.12th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 467 | 97.12th | $57 – $78 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 297 | 97.12th | $366 – $502 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (126 HCPCS billing breadth) | 22,816 | 94.12th | $45 – $65 |
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Dr. James O'dowd, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. O'dowd National Provider Identifier | NPI #1093126336 (MD) | CMS NPPES Registry (91105) |
| Dr. O'dowd Pasadena CMS Volume Rank | 94.12th Pct (27,063 CMS svcs; Z +1.946σ) | CMS Medicare Part B (CA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pasadena, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 20 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.65/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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