Dr. James Wharton, MD
2195 Harrodsburg Rd Ste 2, Lexington, KY 40504 • +1-593-555-9257
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Lexington Percentiles
NPI #1386619203 • CBSA Regional • Dermatology
Statistical peer benchmarking across KY Dermatology providers positions Dr. James Wharton, MD in Lexington at +0.77σ (88th city percentile / 88.33th state percentile, 1,113 Medicare beneficiaries), with clinical focus spanning 90 Active CMS HCPCS Codes.
Dr. Wharton's longitudinal care intensity (9.5 billed units per patient across 1113 individuals) centers on 17000 (2010 annual units) and 99213 ($145–$199 cash range).
Direct cash-pay transparency modeling sets Dr. Wharton's baseline new-consult rate near $209.00 in Lexington, KY (cash-pay accepted, in-person clinic visits only, 11-minute average reception wait).
From 2195 Harrodsburg Rd Ste 2 in Lexington (+1-593-555-9257), Dr. Wharton, MD (34-year clinical track record) delivers 90 Active CMS HCPCS Codes care.
Compared against Lexington, KY Dermatology peers
10,622 annual services across 1,113 beneficiaries
Standard deviations from KY Dermatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 17000 | Cryotherapy Destruction of Premalignant Actinic Lesion | 2,010 | 88th | $130 – $178 |
| 99213 | Focused Cutaneous & Dermoscopic Examination | 1,833 | 84th | $145 – $199 |
| 11102 | Tangential Diagnostic Skin Biopsy of Single Lesion | 1,123 | 89th | $191 – $262 |
| 11401 | Excision of Benign Cutaneous Lesion (0.6 to 1.0 cm) | 591 | 88th | $268 – $367 |
| 99203 | New Patient Full-Body Skin Cancer & Dermatology Evaluation | 355 | 93th | $207 – $283 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (90 HCPCS billing breadth) | 4,710 | 88th | $159 – $231 |
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Dr. James Wharton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wharton National Provider Identifier | NPI #1386619203 (MD) | CMS NPPES Registry (40504) |
| Dr. Wharton Lexington CMS Volume Rank | 88.00th Pct (10,622 CMS svcs; Z +0.774σ) | CMS Medicare Part B (KY Dermatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lexington, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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