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Orthopedic Surgery • Kansas City, KS 66160 • NPI #1518076728

Dr. Edward Toby, MD

3901 Rainbow Blvd, Orthopedic Surgery Ms 3017, Kansas City, KS 66160 • +1-879-555-9970

Medical Education: Accredited U.S. Medical School (Class of 2012)

63 Active CMS HCPCS Codes
4.93/5
Waiting-Room Score
20 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Kansas City Percentiles

NPI #1518076728 • CBSA Regional • Orthopedic Surgery

Dr. Edward Toby DotMD Verification Badge

Within the Kansas City, KS (CBSA local) Orthopedic Surgery cohort, Dr. Edward Toby, MD with sub-specialty concentration in 63 Active CMS HCPCS Codes ranks at the 42.86th municipal percentile and 13.14th KS percentile (-0.55σ Z-score) based on 979 billed procedures for 175 patients.

Fee-schedule auditing of NPI 1518076728 highlights 137 annual claims for 99213 (42.86th Kansas City percentile; $110–$151 self-pay corridor) plus 103 encounters under 20610 and 72 under 73562.

At 3901 Rainbow Blvd, Orthopedic Surgery Ms 3017 (66160), Dr. Edward Toby, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.66/5 bedside rating).

Patients evaluating Dr. Edward Toby in ZIP 66160 note 14 years of post-doctoral tenure (null, 2012) alongside 5.6 annual CMS procedures per patient.

Kansas City Percentile 42.86th

Compared against Kansas City, KS Orthopedic Surgery peers

KS State Percentile 13.14th

979 annual services across 175 beneficiaries

Regional Volume Z-Score -0.551σ

Standard deviations from KS 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 137 42.86th $110 – $151
20610 Major Joint (Knee/Shoulder/Hip) Aspiration or Injection 103 38.86th $117 – $160
73562 Radiologic Weight-Bearing 3-View Knee Examination 72 40.86th $66 – $90
99203 New Patient Musculoskeletal Injury & Surgical Triage 42 43.86th $158 – $216
27447 Total Knee Arthroplasty Joint Reconstruction 27 46.86th $1016 – $1392
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (63 HCPCS billing breadth) 599 42.86th $124 – $180
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Dr. Edward Toby, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Toby National Provider Identifier NPI #1518076728 (MD) CMS NPPES Registry (66160)
Dr. Toby Kansas City CMS Volume Rank 42.86th Pct (979 CMS svcs; Z -0.551σ) CMS Medicare Part B (KS Orthopedic Surgery)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Kansas City, KS)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 14 min lobby wait 20 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.66/5 Listening • 4.43/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
14 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.66/5
Patient communication rating
Modern Protocol Openness
4.43/5
Preventive labs, GLP-1s & HRT
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