Dr. Randolph Rough, MD
5880 University Ave Ste 102, West Des Moines, IA 50266 • +1-713-555-5592
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & West Des Moines Percentiles
NPI #1376525196 • CBSA Regional • Cardiology
Statistical peer benchmarking across IA Cardiology providers positions Dr. Randolph Rough, MD in West Des Moines at +1.69σ (92.31th city percentile / 93.55th state percentile, 4,103 Medicare beneficiaries), with clinical focus spanning 64 Active CMS HCPCS Codes.
Procedural volume for Dr. Rough is led by HCPCS 99214 (Established Cardiology Consultation & Hemodynamic Review — 2974 annual services, $74–$102 GPCI cash estimate), followed by CPT 93000 (12-Lead Resting Electrocardiogram (ECG) w/ Interpretation, 2191/yr) and CPT 93306 (Complete Transthoracic Echocardiography w/ Doppler & Color Flow, 1409/yr).
Direct cash-pay transparency modeling sets Dr. Rough's baseline new-consult rate near $209.00 in West Des Moines, IA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 19-minute average reception wait).
From 5880 University Ave Ste 102 in West Des Moines (+1-713-555-5592), Dr. Rough, MD (23-year clinical track record) delivers 64 Active CMS HCPCS Codes care.
Top 10% Cardiology volume leader in West Des Moines, IA
8,215 annual services across 4,103 beneficiaries
Standard deviations from IA Cardiology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Cardiology Consultation & Hemodynamic Review | 2,974 | 92.31th | $74 – $102 |
| 93000 | 12-Lead Resting Electrocardiogram (ECG) w/ Interpretation | 2,191 | 96.31th | $29 – $44 |
| 93306 | Complete Transthoracic Echocardiography w/ Doppler & Color Flow | 1,409 | 94.31th | $139 – $190 |
| 93224 | 24-Hour Ambulatory ECG Rhythm Monitoring & Analysis | 783 | 96.31th | $87 – $119 |
| 99204 | Comprehensive New Patient Cardiovascular Risk Evaluation | 470 | 90.31th | $106 – $146 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (64 HCPCS billing breadth) | 390 | 92.31th | $67 – $97 |
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Dr. Randolph Rough, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rough National Provider Identifier | NPI #1376525196 (MD) | CMS NPPES Registry (50266) |
| Dr. Rough West Des Moines CMS Volume Rank | 92.31th Pct (8,215 CMS svcs; Z +1.694σ) | CMS Medicare Part B (IA Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (West Des Moines, IA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.65/5 Listening • 4.82/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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