Dr. Karen Sutton, MD
1 Blachley Rd, Stamford, CT 06902 • +1-305-555-1904
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Stamford Percentiles
NPI #1497937007 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across CT Orthopedic Surgery providers positions Dr. Karen Sutton, MD in Stamford at -0.31σ (44.44th city percentile / 53.85th state percentile, 57 Medicare beneficiaries), with clinical focus spanning 19 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Sutton (averaging 38.3 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 3% of tracked volume (67 encounters), paired with 20610 (50x).
Direct cash-pay transparency modeling sets Dr. Sutton's baseline new-consult rate near $209.00 in Stamford, CT (cash-pay accepted, hybrid in-clinic and telehealth video consults, 15-minute average reception wait).
NPI registry verification (#1497937007) confirms Dr. Karen Sutton's MD standing serving CBSA 06902 with a 4.94/5 patient scorecard.
Compared against Stamford, CT Orthopedic Surgery peers
2,184 annual services across 57 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 | 67 | 44.44th | $35 – $50 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 50 | 45.44th | $37 – $52 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 35 | 47.44th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 20 | 41.44th | $50 – $68 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 13 | 40.44th | $321 – $440 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (19 HCPCS billing breadth) | 1,998 | 44.44th | $45 – $65 |
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Dr. Karen Sutton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sutton National Provider Identifier | NPI #1497937007 (MD) | CMS NPPES Registry (06902) |
| Dr. Sutton Stamford CMS Volume Rank | 44.44th Pct (2,184 CMS svcs; Z -0.311σ) | CMS Medicare Part B (CT Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Stamford, CT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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