Dr. Lee Blanton, MD
6405 Day St, Riverside, CA 92507 • +1-366-555-4678
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Riverside Percentiles
NPI #1417262957 • CBSA Regional • Orthopedic Surgery
Dr. Lee Blanton, MD (NPI #1417262957) practices Orthopedic Surgery in Riverside, CA (92507) with sub-specialty concentration in 47 Active CMS HCPCS Codes, recording 5,292 annual CMS services across 207 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (75th Riverside percentile) (+0.01σ vs CA state mean, 75.78th statewide percentile).
Fee-schedule auditing of NPI 1417262957 highlights 201 annual claims for 99213 (75th Riverside percentile; $40–$55 self-pay corridor) plus 151 encounters under 20610 and 106 under 73562.
Self-pay new patient consultations with Dr. Blanton (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 13-minute average reception wait, and a 4.59/5 modern protocol openness score across 11 patient logs.
Patients evaluating Dr. Lee Blanton in ZIP 92507 note 14 years of post-doctoral tenure (null, 2012) alongside 25.6 annual CMS procedures per patient.
Compared against Riverside, CA Orthopedic Surgery peers
5,292 annual services across 207 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 | 201 | 75th | $40 – $55 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 151 | 79th | $42 – $58 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 106 | 76th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 61 | 73th | $57 – $78 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 39 | 75th | $366 – $502 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (47 HCPCS billing breadth) | 4,734 | 75th | $45 – $65 |
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Dr. Lee Blanton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Blanton National Provider Identifier | NPI #1417262957 (MD) | CMS NPPES Registry (92507) |
| Dr. Blanton Riverside CMS Volume Rank | 75.00th Pct (5,292 CMS svcs; Z +0.009σ) | CMS Medicare Part B (CA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Riverside, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 13 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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