Dr. Matthew Birdwhistell, DO
1138 Lexington Rd, Suite 290, Georgetown, KY 40324 • +1-811-555-7532
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Georgetown Percentiles
NPI #1043457757 • CBSA Regional • Internal Medicine
Anchored in Georgetown, KY 40324, Dr. Matthew Birdwhistell, DO (NPI 1043457757) logged 2,576 annual procedures (focused low-volume boutique caseload (33.33th Georgetown percentile), 73.02th KY percentile, -0.12σ) with sub-specialty concentration in 40 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1043457757 highlights 589 annual claims for 99214 (33.33th Georgetown percentile; $69–$95 self-pay corridor) plus 340 encounters under 99213 and 170 under 93000.
Self-pay new patient consultations with Dr. Birdwhistell (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 14-minute average reception wait, and a 4.47/5 modern protocol openness score across 24 patient logs.
Clinical background for Dr. Birdwhistell (DO, NPI #1043457757) includes accredited doctoral training (1998, 28 yrs in practice) and dedicated on-site consultations at 1138 Lexington Rd, Suite 290.
Compared against Georgetown, KY Internal Medicine peers
2,576 annual services across 249 beneficiaries
Standard deviations from KY Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 589 | 33.33th | $69 – $95 |
| 99213 | Established Preventive & Chronic Care Visit | 340 | 31.33th | $53 – $73 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 170 | 29.33th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 131 | 34.33th | $81 – $112 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 79 | 38.33th | $96 – $132 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (40 HCPCS billing breadth) | 1,267 | 33.33th | $63 – $91 |
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Dr. Matthew Birdwhistell, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Birdwhistell National Provider Identifier | NPI #1043457757 (DO) | CMS NPPES Registry (40324) |
| Dr. Birdwhistell Georgetown CMS Volume Rank | 33.33th Pct (2,576 CMS svcs; Z -0.118σ) | CMS Medicare Part B (KY Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Georgetown, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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