Dr. Stephen Thomas, MD
2701 N Decatur Rd, Decatur, GA 30033 • +1-313-555-4265
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Decatur Percentiles
NPI #1679528129 • CBSA Regional • Family Practice
CMS Medicare Part B utilization records credit Dr. Stephen Thomas (MD, NPI 1679528129) at 2701 N Decatur Rd in Decatur with 2,456 annual clinical services (277 beneficiaries), corresponding to a -0.09σ regional deviation and upper-quartile active clinical volume (81.25th Decatur percentile) with sub-specialty concentration in 40 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1679528129 highlights 968 annual claims for 99214 (81.25th Decatur percentile; $89–$122 self-pay corridor) plus 714 encounters under 99213 and 276 under G0439.
Self-pay new patient consultations with Dr. Thomas (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 20-minute average reception wait, and a 4.72/5 modern protocol openness score across 6 patient logs.
Credentialed as an MD specialist with 19 years post-graduation experience since completing medical school at an LCME/COCA institution (2007), Dr. Thomas coordinates 40 Active CMS HCPCS Codes workups from 2701 N Decatur Rd (+1-313-555-4265).
Compared against Decatur, GA Family Practice peers
2,456 annual services across 277 beneficiaries
Standard deviations from GA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 968 | 81.25th | $89 – $122 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 714 | 84.25th | $68 – $94 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 276 | 78.25th | $102 – $140 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 207 | 81.25th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 138 | 81.25th | $123 – $168 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (40 HCPCS billing breadth) | 152 | 81.25th | $80 – $116 |
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Dr. Stephen Thomas, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Thomas National Provider Identifier | NPI #1679528129 (MD) | CMS NPPES Registry (30033) |
| Dr. Thomas Decatur CMS Volume Rank | 81.25th Pct (2,456 CMS svcs; Z -0.091σ) | CMS Medicare Part B (GA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Decatur, GA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.72/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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