Dr. John Gainor, MD
4151 Foothill Rd, Santa Barbara, CA 93110 • +1-520-555-7800
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Santa Barbara Percentiles
NPI #1003828989 • CBSA Regional • Orthopedic Surgery
Within the Santa Barbara, CA (CBSA local) Orthopedic Surgery cohort, Dr. John Gainor, MD with sub-specialty concentration in 13 Active CMS HCPCS Codes ranks at the 50th municipal percentile and 46.72th CA percentile (-0.27σ Z-score) based on 2,141 billed procedures for 316 patients.
Fee-schedule auditing of NPI 1003828989 highlights 294 annual claims for 99213 (50th Santa Barbara percentile; $59–$81 self-pay corridor) plus 221 encounters under 20610 and 155 under 73562.
Cash-pay intake data for NPI 1003828989 (4151 Foothill Rd, Santa Barbara) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 20-minute average reception wait and 4.92/5 biomarker openness.
Credentialed as an MD specialist with 26 years post-graduation experience since completing medical school at an LCME/COCA institution (2000), Dr. Gainor coordinates 13 Active CMS HCPCS Codes workups from 4151 Foothill Rd (+1-520-555-7800).
Compared against Santa Barbara, CA Orthopedic Surgery peers
2,141 annual services across 316 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 | 294 | 50th | $59 – $81 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 221 | 49th | $63 – $87 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 155 | 52th | $36 – $51 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 90 | 51th | $85 – $117 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 57 | 54th | $549 – $752 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (13 HCPCS billing breadth) | 1,323 | 50th | $67 – $97 |
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Dr. John Gainor, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gainor National Provider Identifier | NPI #1003828989 (MD) | CMS NPPES Registry (93110) |
| Dr. Gainor Santa Barbara CMS Volume Rank | 50.00th Pct (2,141 CMS svcs; Z -0.272σ) | CMS Medicare Part B (CA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Santa Barbara, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 20 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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