Dr. Justin Elder, DO
17005 Old Orchard Rd, Lewes, DE 19958 • +1-482-555-2452
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Lewes Percentiles
NPI #1821223413 • CBSA Regional • Otolaryngology
Within the Lewes, DE (CBSA local) Otolaryngology cohort, Dr. Justin Elder, DO with sub-specialty concentration in 112 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 94.44th DE percentile (+2.95σ Z-score) based on 12,215 billed procedures for 1,736 patients.
Dr. Elder's longitudinal care intensity (7.0 billed units per patient across 1736 individuals) centers on 99213 (4153 annual units) and 31231 ($131–$180 cash range).
At 17005 Old Orchard Rd (19958), Dr. Justin Elder, DO accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.62/5 bedside rating).
NPI registry verification (#1821223413) confirms Dr. Justin Elder's DO standing serving CBSA 19958 with a 4.90/5 patient scorecard.
Top 10% Otolaryngology volume leader in Lewes, DE
12,215 annual services across 1,736 beneficiaries
Standard deviations from DE 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 | 4,153 | 99th | $65 – $89 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 3,054 | 99.5th | $131 – $180 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 2,321 | 97th | $96 – $131 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 1,588 | 96th | $46 – $63 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 1,099 | 99.5th | $41 – $56 |
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Dr. Justin Elder, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Elder National Provider Identifier | NPI #1821223413 (DO) | CMS NPPES Registry (19958) |
| Dr. Elder Lewes CMS Volume Rank | 99.00th Pct (12,215 CMS svcs; Z +2.952σ) | CMS Medicare Part B (DE Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lewes, DE) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.63/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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