Dr. Fred Howard, MD
451 S 11th St, Lake Wales, FL 33853 • +1-769-555-9400
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Lake Wales Percentiles
NPI #1447228614 • CBSA Regional • General Surgery
Operating out of Lake Wales, FL (451 S 11th St), General Surgery clinician Dr. Fred Howard, MD (accredited MD/DO training, 2009) maintains a mid-cohort balanced caseload (50th Lake Wales percentile) (77.05th FL percentile; Z-score +0.01σ across 1,645 documented services) with sub-specialty concentration in 52 Active CMS HCPCS Codes.
Dr. Howard's longitudinal care intensity (9.5 billed units per patient across 174 individuals) centers on 99214 (740 annual units) and 99213 ($84–$115 cash range).
Direct cash-pay transparency modeling sets Dr. Howard's baseline new-consult rate near $216.00 in Lake Wales, FL (cash-pay accepted, hybrid in-clinic and telehealth video consults, 13-minute average reception wait).
Spanning 17 years of clinical practice following 2009 graduation from medical training, Dr. Fred Howard integrates 52 Active CMS HCPCS Codes diagnostics for Lake Wales metro patients.
Compared against Lake Wales, FL General Surgery peers
1,645 annual services across 174 beneficiaries
Standard deviations from FL General Surgery 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 | 740 | 50th | $110 – $151 |
| 99213 | Established Preventive & Chronic Care Visit | 428 | 45th | $84 – $115 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 214 | 54th | $40 – $55 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 165 | 46th | $129 – $177 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 99 | 47th | $153 – $209 |
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Dr. Fred Howard, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Howard National Provider Identifier | NPI #1447228614 (MD) | CMS NPPES Registry (33853) |
| Dr. Howard Lake Wales CMS Volume Rank | 50.00th Pct (1,645 CMS svcs; Z +0.014σ) | CMS Medicare Part B (FL General Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lake Wales, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 13 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.65/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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