Dr. Mark Spanier, MD
1740 Nicholasville Rd, Central Baptist Hospital Emergency Room, Lexington, KY 40503 • +1-903-555-1584
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Lexington Percentiles
NPI #1932175072 • CBSA Regional • Emergency Medicine
Dr. Mark Spanier, MD (NPI #1932175072) practices Emergency Medicine in Lexington, KY (40503) with sub-specialty concentration in 29 Active CMS HCPCS Codes, recording 688 annual CMS services across 383 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (10.34th Lexington percentile) (-0.52σ vs KY state mean, 18.32th statewide percentile).
Fee-schedule auditing of NPI 1932175072 highlights 310 annual claims for 99214 (12th Lexington percentile; $161–$221 self-pay corridor) plus 179 encounters under 99213 and 89 under 93000.
For out-of-network patients contacting +1-903-555-1584, Dr. Spanier's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.55/5 composite reality score over 22 submissions).
NPI registry verification (#1932175072) confirms Dr. Mark Spanier's MD standing serving CBSA 40503 with a 4.55/5 patient scorecard.
Compared against Lexington, KY Emergency Medicine peers
688 annual services across 383 beneficiaries
Standard deviations from KY Emergency 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 | 310 | 12th | $161 – $221 |
| 99213 | Established Preventive & Chronic Care Visit | 179 | 12th | $123 – $169 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 89 | 12th | $59 – $81 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 69 | 14.34th | $189 – $260 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 41 | 13.34th | $224 – $308 |
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Dr. Mark Spanier, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spanier National Provider Identifier | NPI #1932175072 (MD) | CMS NPPES Registry (40503) |
| Dr. Spanier Lexington CMS Volume Rank | 10.34th Pct (688 CMS svcs; Z -0.524σ) | CMS Medicare Part B (KY Emergency Medicine) |
| 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 • 20 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.63/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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