Dr. Derek Shia, MD
9 Washington Ave Fl 1a, Hamden, CT 06518 • +1-940-555-1487
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Hamden Percentiles
NPI #1861600165 • CBSA Regional • Orthopedic Surgery
Within the Hamden, CT (CBSA local) Orthopedic Surgery cohort, Dr. Derek Shia, MD with sub-specialty concentration in 42 Active CMS HCPCS Codes ranks at the 65.22th municipal percentile and 50.23th CT percentile (-0.33σ Z-score) based on 2,037 billed procedures for 297 patients.
Granular CPT/HCPCS billing distribution at 9 Washington Ave Fl 1a shows Dr. Derek Shia's primary concentration in Focused Orthopedic Joint & Spine Mobility Evaluation (code 99213: 418x/yr, 65.22th local percentile) alongside Major Joint (Knee/Shoulder/Hip) Aspiration or Injection (20610: 314x/yr, $110–$151).
For out-of-network patients contacting +1-940-555-1487, Dr. Shia's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.82/5 composite reality score over 13 submissions).
Clinical background for Dr. Shia (MD, NPI #1861600165) includes accredited doctoral training (2011, 15 yrs in practice) and virtual + in-office availability across CT.
Compared against Hamden, CT Orthopedic Surgery peers
2,037 annual services across 297 beneficiaries
Standard deviations from CT 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 | 418 | 65.22th | $104 – $142 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 314 | 63.22th | $110 – $151 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 221 | 60.22th | $62 – $85 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 128 | 64.22th | $149 – $204 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 81 | 62.22th | $956 – $1310 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (42 HCPCS billing breadth) | 875 | 65.22th | $117 – $170 |
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Dr. Derek Shia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shia National Provider Identifier | NPI #1861600165 (MD) | CMS NPPES Registry (06518) |
| Dr. Shia Hamden CMS Volume Rank | 65.22th Pct (2,037 CMS svcs; Z -0.332σ) | CMS Medicare Part B (CT Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Hamden, CT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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