Dr. John Welborn, MD
1700 San Pablo Ave, Suite A, Pinole, CA 94564 • +1-456-555-9896
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Pinole Percentiles
NPI #1235179144 • CBSA Regional • Orthopedic Surgery
CMS Medicare Part B utilization records credit Dr. John Welborn (MD, NPI 1235179144) at 1700 San Pablo Ave, Suite A in Pinole with 1,329 annual clinical services (102 beneficiaries), corresponding to a -0.34σ regional deviation and top-decile high-throughput specialist (99th percentile in Pinole) with sub-specialty concentration in 26 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1235179144 highlights 334 annual claims for 99213 (99th Pinole percentile; $125–$171 self-pay corridor) plus 251 encounters under 20610 and 176 under 73562.
Direct cash-pay transparency modeling sets Dr. Welborn's baseline new-consult rate near $239.00 in Pinole, CA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 21-minute average reception wait).
Spanning 20 years of clinical practice following 2006 graduation from medical training, Dr. John Welborn integrates 26 Active CMS HCPCS Codes diagnostics for Pinole metro patients.
Top 10% Orthopedic Surgery volume leader in Pinole, CA
1,329 annual services across 102 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 | 334 | 99th | $125 – $171 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 251 | 99.5th | $133 – $182 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 176 | 99.5th | $75 – $102 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 102 | 99.5th | $179 – $245 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 65 | 99th | $1153 – $1580 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (26 HCPCS billing breadth) | 401 | 99th | $141 – $204 |
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Dr. John Welborn, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Welborn National Provider Identifier | NPI #1235179144 (MD) | CMS NPPES Registry (94564) |
| Dr. Welborn Pinole CMS Volume Rank | 99.00th Pct (1,329 CMS svcs; Z -0.344σ) | CMS Medicare Part B (CA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pinole, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 21 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.95/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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