Dr. Shawn Mathews, MD
300 Medical DR Ste 705, Lagrange, GA 30240 • +1-575-555-8957
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Lagrange Percentiles
NPI #1043341043 • CBSA Regional • Otolaryngology
Dr. Shawn Mathews, MD (NPI #1043341043) practices Otolaryngology in Lagrange, GA (30240) with sub-specialty concentration in 46 Active CMS HCPCS Codes, recording 720 annual CMS services across 301 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Lagrange) (-0.77σ vs GA state mean, 4.35th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Mathews (averaging 2.4 services per beneficiary), 99213 (Focused Ear, Nose, Sinus & Throat Examination) represents 34% of tracked volume (245 encounters), paired with 31231 (180x).
Self-pay new patient consultations with Dr. Mathews (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 18-minute average reception wait, and a 4.41/5 modern protocol openness score across 18 patient logs.
Patients evaluating Dr. Shawn Mathews in ZIP 30240 note 13 years of post-doctoral tenure (null, 2013) alongside 2.4 annual CMS procedures per patient.
Top 10% Otolaryngology volume leader in Lagrange, GA
720 annual services across 301 beneficiaries
Standard deviations from GA 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 | 245 | 99th | $146 – $201 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 180 | 97th | $294 – $403 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 137 | 99.5th | $215 – $294 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 94 | 94th | $103 – $142 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 65 | 94th | $92 – $126 |
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Dr. Shawn Mathews, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mathews National Provider Identifier | NPI #1043341043 (MD) | CMS NPPES Registry (30240) |
| Dr. Mathews Lagrange CMS Volume Rank | 99.00th Pct (720 CMS svcs; Z -0.770σ) | CMS Medicare Part B (GA Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lagrange, GA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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