Dr. David Vittetoe, MD
1301 Pennsylvania Ave Ste 213, Des Moines, IA 50316 • +1-372-555-7382
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Des Moines Percentiles
NPI #1790749174 • CBSA Regional • Orthopedic Surgery
Within the Des Moines, IA (CBSA local) Orthopedic Surgery cohort, Dr. David Vittetoe, MD with sub-specialty concentration in 59 Active CMS HCPCS Codes ranks at the 76.19th municipal percentile and 82.22th IA percentile (+0.17σ Z-score) based on 6,301 billed procedures for 852 patients.
Fee-schedule auditing of NPI 1790749174 highlights 798 annual claims for 99213 (76.19th Des Moines percentile; $99–$136 self-pay corridor) plus 599 encounters under 20610 and 421 under 73562.
Uninsured and high-deductible cash patients visiting Dr. David Vittetoe in Des Moines (50316) face an estimated $209.00 initial evaluation fee at 1301 Pennsylvania Ave Ste 213 (hybrid in-clinic and telehealth video consults; 10-minute average reception wait; bedside manner 4.55/5 from 4 verified reports).
From 1301 Pennsylvania Ave Ste 213 in Des Moines (+1-372-555-7382), Dr. Vittetoe, MD (30-year clinical track record) delivers 59 Active CMS HCPCS Codes care.
Compared against Des Moines, IA Orthopedic Surgery peers
6,301 annual services across 852 beneficiaries
Standard deviations from IA Orthopedic Surgery 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 Orthopedic Joint & Spine Mobility Evaluation | 798 | 76.19th | $99 – $136 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 599 | 80.19th | $106 – $145 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 421 | 78.19th | $59 – $81 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 244 | 74.19th | $142 – $195 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 155 | 81.19th | $917 – $1256 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (59 HCPCS billing breadth) | 4,084 | 76.19th | $112 – $162 |
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Dr. David Vittetoe, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Vittetoe National Provider Identifier | NPI #1790749174 (MD) | CMS NPPES Registry (50316) |
| Dr. Vittetoe Des Moines CMS Volume Rank | 76.19th Pct (6,301 CMS svcs; Z +0.165σ) | CMS Medicare Part B (IA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Des Moines, IA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.55/5 Listening • 4.40/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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