Dr. Samuel Pruden, MD
989 Governors Ln Ste 260, Lexington, KY 40513 • +1-226-555-2294
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Lexington Percentiles
NPI #1871593996 • CBSA Regional • Dermatology
Dr. Samuel Pruden, MD (NPI #1871593996) practices Dermatology in Lexington, KY (40513) with sub-specialty concentration in 84 Active CMS HCPCS Codes, recording 13,171 annual CMS services across 235 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (96th percentile in Lexington) (+1.19σ vs KY state mean, 91.67th statewide percentile).
Fee-schedule auditing of NPI 1871593996 highlights 1005 annual claims for 17000 (96th Lexington percentile; $33–$48 self-pay corridor) plus 916 encounters under 99213 and 561 under 11102.
Direct cash-pay transparency modeling sets Dr. Pruden's baseline new-consult rate near $209.00 in Lexington, KY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 9-minute average reception wait).
From 989 Governors Ln Ste 260 in Lexington (+1-226-555-2294), Dr. Pruden, MD (20-year clinical track record) delivers 84 Active CMS HCPCS Codes care.
Top 10% Dermatology volume leader in Lexington, KY
13,171 annual services across 235 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 | 1,005 | 96th | $33 – $48 |
| 99213 | Focused Cutaneous & Dermoscopic Examination | 916 | 94th | $37 – $52 |
| 11102 | Tangential Diagnostic Skin Biopsy of Single Lesion | 561 | 99th | $49 – $67 |
| 11401 | Excision of Benign Cutaneous Lesion (0.6 to 1.0 cm) | 296 | 99.5th | $69 – $94 |
| 99203 | New Patient Full-Body Skin Cancer & Dermatology Evaluation | 177 | 94th | $53 – $72 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (84 HCPCS billing breadth) | 10,216 | 96th | $45 – $65 |
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Dr. Samuel Pruden, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pruden National Provider Identifier | NPI #1871593996 (MD) | CMS NPPES Registry (40513) |
| Dr. Pruden Lexington CMS Volume Rank | 96.00th Pct (13,171 CMS svcs; Z +1.189σ) | 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 • 9 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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