Dr. Stephen Wallace, MD
3055 Roslyn St Unit 200, Denver, CO 80238 • +1-691-555-1726
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Denver Percentiles
NPI #1205222502 • CBSA 19740 • Orthopedic Surgery
Anchored in Denver, CO 80238, Dr. Stephen Wallace, MD (NPI 1205222502) logged 1,885 annual procedures (mid-cohort balanced caseload (41.94th Denver percentile), 46.92th CO percentile, -0.34σ) with sub-specialty concentration in 67 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1205222502 highlights 390 annual claims for 99213 (41.94th Denver percentile; $69–$95 self-pay corridor) plus 292 encounters under 20610 and 206 under 73562.
Self-pay new patient consultations with Dr. Wallace (CPT 99204 GPCI-adjusted benchmark) estimate around $213.00 (community reported average: $213.00) with hybrid in-clinic and telehealth video consults, 17-minute average reception wait, and a 4.56/5 modern protocol openness score across 7 patient logs.
NPI registry verification (#1205222502) confirms Dr. Stephen Wallace's MD standing serving CBSA 19740 with a 4.76/5 patient scorecard.
Compared against Denver, CO Orthopedic Surgery peers
1,885 annual services across 277 beneficiaries
Standard deviations from CO 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 | 390 | 41.94th | $69 – $95 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 292 | 36.94th | $73 – $101 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 206 | 37.94th | $41 – $56 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 119 | 37.94th | $99 – $136 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 76 | 37.94th | $637 – $873 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (67 HCPCS billing breadth) | 802 | 41.94th | $78 – $113 |
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Dr. Stephen Wallace, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wallace National Provider Identifier | NPI #1205222502 (MD) | CMS NPPES Registry (80238) |
| Dr. Wallace Denver CMS Volume Rank | 41.94th Pct (1,885 CMS svcs; Z -0.338σ) | CMS Medicare Part B (CO Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $213.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Denver, CO) |
| Waiting-Room Wait Time & Cash Friendliness | $213.00 avg paid • 17 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.94/5 Listening • 4.56/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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