Dr. James Warren, MD
4745 Arapahoe Ave, Ste 130, Boulder, CO 80303 • +1-639-555-3549
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Boulder Percentiles
NPI #1194743450 • CBSA Regional • Otolaryngology
Within the Boulder, CO (CBSA local) Otolaryngology cohort, Dr. James Warren, MD with sub-specialty concentration in 45 Active CMS HCPCS Codes ranks at the 16.67th municipal percentile and 36.96th CO percentile (-0.50σ Z-score) based on 852 billed procedures for 305 patients.
Fee-schedule auditing of NPI 1194743450 highlights 290 annual claims for 99213 (16.67th Boulder percentile; $150–$206 self-pay corridor) plus 213 encounters under 31231 and 162 under 31575.
For out-of-network patients contacting +1-639-555-3549, Dr. Warren's practice posts a $211.00 GPCI self-pay consult estimate ($211.00 patient-logged median, 4.56/5 composite reality score over 15 submissions).
Spanning 19 years of clinical practice following 2007 graduation from medical training, Dr. James Warren integrates 45 Active CMS HCPCS Codes diagnostics for Boulder metro patients.
Compared against Boulder, CO Otolaryngology peers
852 annual services across 305 beneficiaries
Standard deviations from CO Otolaryngology 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 Ear, Nose, Sinus & Throat Examination | 290 | 16.67th | $150 – $206 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 213 | 17.67th | $302 – $414 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 162 | 16.67th | $221 – $302 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 111 | 12th | $106 – $146 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 77 | 15.67th | $95 – $130 |
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Dr. James Warren, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Warren National Provider Identifier | NPI #1194743450 (MD) | CMS NPPES Registry (80303) |
| Dr. Warren Boulder CMS Volume Rank | 16.67th Pct (852 CMS svcs; Z -0.500σ) | CMS Medicare Part B (CO Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $211.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Boulder, CO) |
| Waiting-Room Wait Time & Cash Friendliness | $211.00 avg paid • 13 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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