Dr. James Barnes, MD
1225 15th St Ste 2100, Santa Monica, CA 90404 • +1-806-555-2231
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Santa Monica Percentiles
NPI #1083980585 • CBSA Regional • Orthopedic Surgery
Within the Santa Monica, CA (CBSA local) Orthopedic Surgery cohort, Dr. James Barnes, MD with sub-specialty concentration in 99 Active CMS HCPCS Codes ranks at the 91.67th municipal percentile and 92.93th CA percentile (+0.82σ Z-score) based on 14,469 billed procedures for 677 patients.
Fee-schedule auditing of NPI 1083980585 highlights 1297 annual claims for 99213 (91.67th Santa Monica percentile; $46–$64 self-pay corridor) plus 973 encounters under 20610 and 684 under 73562.
Self-pay new patient consultations with Dr. Barnes (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with in-person clinic visits only, 18-minute average reception wait, and a 4.59/5 modern protocol openness score across 24 patient logs.
From 1225 15th St Ste 2100 in Santa Monica (+1-806-555-2231), Dr. Barnes, MD (22-year clinical track record) delivers 99 Active CMS HCPCS Codes care.
Top 10% Orthopedic Surgery volume leader in Santa Monica, CA
14,469 annual services across 677 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 | 1,297 | 91.67th | $46 – $64 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 973 | 94.67th | $49 – $68 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 684 | 91.67th | $28 – $43 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 396 | 92.67th | $67 – $91 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 252 | 91.67th | $429 – $587 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (99 HCPCS billing breadth) | 10,867 | 91.67th | $52 – $75 |
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Dr. James Barnes, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Barnes National Provider Identifier | NPI #1083980585 (MD) | CMS NPPES Registry (90404) |
| Dr. Barnes Santa Monica CMS Volume Rank | 91.67th Pct (14,469 CMS svcs; Z +0.825σ) | 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 Monica, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 18 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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