Dr. Sian Spurney, MD
900 23rd St Nw, Washington, DC 20037 • +1-811-555-6627
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Washington Percentiles
NPI #1366409070 • CBSA Regional • Internal Medicine
Operating out of Washington, DC (900 23rd St Nw), Internal Medicine clinician Dr. Sian Spurney, MD (accredited MD/DO training, 1997) maintains a mid-cohort balanced caseload (58.58th Washington percentile) (58.82th DC percentile; Z-score -0.10σ across 1,158 documented services) with sub-specialty concentration in 23 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1366409070 highlights 513 annual claims for 99214 (58.58th Washington percentile; $143–$196 self-pay corridor) plus 296 encounters under 99213 and 148 under 93000.
Self-pay new patient consultations with Dr. Spurney (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 14-minute average reception wait, and a 4.51/5 modern protocol openness score across 8 patient logs.
Clinical background for Dr. Spurney (MD, NPI #1366409070) includes accredited doctoral training (1997, 29 yrs in practice) and virtual + in-office availability across DC.
Compared against Washington, DC Internal Medicine peers
1,158 annual services across 436 beneficiaries
Standard deviations from DC Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 513 | 58.58th | $143 – $196 |
| 99213 | Established Preventive & Chronic Care Visit | 296 | 53.58th | $109 – $150 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 148 | 53.58th | $52 – $72 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 114 | 55.58th | $168 – $230 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 68 | 61.58th | $199 – $273 |
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Dr. Sian Spurney, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spurney National Provider Identifier | NPI #1366409070 (MD) | CMS NPPES Registry (20037) |
| Dr. Spurney Washington CMS Volume Rank | 58.58th Pct (1,158 CMS svcs; Z -0.101σ) | CMS Medicare Part B (DC Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Washington, DC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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