Dr. Guy Grooms, MD
535 W Sunnyside Rd Ste 2, Idaho Falls, ID 83402 • +1-470-555-3341
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Idaho Falls Percentiles
NPI #1053316786 • CBSA Regional • Orthopedic Surgery
Dr. Guy Grooms, MD (NPI #1053316786) practices Orthopedic Surgery in Idaho Falls, ID (83402) with sub-specialty concentration in 42 Active CMS HCPCS Codes, recording 22,031 annual CMS services across 45 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (88.89th Idaho Falls percentile) (+6.35σ vs ID state mean, 98.72th statewide percentile).
Fee-schedule auditing of NPI 1053316786 highlights 94 annual claims for 99213 (88.89th Idaho Falls percentile; $42–$57 self-pay corridor) plus 70 encounters under 20610 and 49 under 73562.
At 535 W Sunnyside Rd Ste 2 (83402), Dr. Guy Grooms, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.61/5 bedside rating).
Credentialed as an MD specialist with 24 years post-graduation experience since completing medical school at an LCME/COCA institution (2002), Dr. Grooms coordinates 42 Active CMS HCPCS Codes workups from 535 W Sunnyside Rd Ste 2 (+1-470-555-3341).
Compared against Idaho Falls, ID Orthopedic Surgery peers
22,031 annual services across 45 beneficiaries
Standard deviations from ID 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 | 94 | 88.89th | $42 – $57 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 70 | 88.89th | $44 – $61 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 49 | 93.89th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 29 | 89.89th | $60 – $82 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 18 | 93.89th | $384 – $527 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (42 HCPCS billing breadth) | 21,771 | 88.89th | $47 – $68 |
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Dr. Guy Grooms, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Grooms National Provider Identifier | NPI #1053316786 (MD) | CMS NPPES Registry (83402) |
| Dr. Grooms Idaho Falls CMS Volume Rank | 88.89th Pct (22,031 CMS svcs; Z +6.353σ) | CMS Medicare Part B (ID Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Idaho Falls, ID) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.60/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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