Dr. Thomas Gorsche, MD
1631 Logan Ave, Waterloo, IA 50703 • +1-901-555-7297
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Waterloo Percentiles
NPI #1568416196 • CBSA Regional • Orthopedic Surgery
Anchored in Waterloo, IA 50703, Dr. Thomas Gorsche, MD (NPI 1568416196) logged 3,473 annual procedures (mid-cohort balanced caseload (50th Waterloo percentile), 57.78th IA percentile, -0.18σ) with sub-specialty concentration in 60 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1568416196 highlights 125 annual claims for 99213 (50th Waterloo percentile; $35–$50 self-pay corridor) plus 94 encounters under 20610 and 66 under 73562.
Cash-pay intake data for NPI 1568416196 (1631 Logan Ave, Waterloo) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 21-minute average reception wait and 4.61/5 biomarker openness.
Clinical background for Dr. Gorsche (MD, NPI #1568416196) includes accredited doctoral training (1997, 29 yrs in practice) and virtual + in-office availability across IA.
Compared against Waterloo, IA Orthopedic Surgery peers
3,473 annual services across 122 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 | 125 | 50th | $35 – $50 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 94 | 52th | $37 – $52 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 66 | 51th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 38 | 51th | $50 – $68 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 24 | 54th | $321 – $440 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (60 HCPCS billing breadth) | 3,125 | 50th | $45 – $65 |
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Dr. Thomas Gorsche, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gorsche National Provider Identifier | NPI #1568416196 (MD) | CMS NPPES Registry (50703) |
| Dr. Gorsche Waterloo CMS Volume Rank | 50.00th Pct (3,473 CMS svcs; Z -0.182σ) | CMS Medicare Part B (IA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Waterloo, IA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.61/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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