Dr. Steven Spence, MD
4318 5th Ave, Marianna, FL 32446 • +1-538-555-3699
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Marianna Percentiles
NPI #1528056223 • CBSA Regional • Internal Medicine
Operating out of Marianna, FL (4318 5th Ave), Internal Medicine clinician Dr. Steven Spence, MD (accredited MD/DO training, 2007) maintains a focused low-volume boutique caseload (0th Marianna percentile) (37.89th FL percentile; Z-score -0.09σ across 1,176 documented services) with sub-specialty concentration in 28 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Spence (averaging 3.4 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (529 encounters), paired with 99213 (306x).
Cash-pay intake data for NPI 1528056223 (4318 5th Ave, Marianna) indicates $216.00 typical out-of-pocket visit spend against a $216.00 locality benchmark, paired with 12-minute average reception wait and 4.89/5 biomarker openness.
Clinical background for Dr. Spence (MD, NPI #1528056223) includes accredited doctoral training (2007, 19 yrs in practice) and dedicated on-site consultations at 4318 5th Ave.
Compared against Marianna, FL Internal Medicine peers
1,176 annual services across 346 beneficiaries
Standard deviations from FL 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 | 529 | 12th | $146 – $200 |
| 99213 | Established Preventive & Chronic Care Visit | 306 | 12th | $112 – $153 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 153 | 12th | $53 – $73 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 118 | 12th | $171 – $235 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 71 | 12th | $203 – $278 |
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Dr. Steven Spence, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spence National Provider Identifier | NPI #1528056223 (MD) | CMS NPPES Registry (32446) |
| Dr. Spence Marianna CMS Volume Rank | 0.00th Pct (1,176 CMS svcs; Z -0.092σ) | CMS Medicare Part B (FL Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Marianna, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 12 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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