Dr. Ted Qualls, MD
800 Rose St, Department of Emergency Medicine, Lexington, KY 40536 • +1-305-555-4141
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Lexington Percentiles
NPI #1790938405 • CBSA Regional • Emergency Medicine
CMS Medicare Part B utilization records credit Dr. Ted Qualls (MD, NPI 1790938405) at 800 Rose St, Department of Emergency Medicine in Lexington with 887 annual clinical services (565 beneficiaries), corresponding to a -0.26σ regional deviation and mid-cohort balanced caseload (37.93th Lexington percentile) with sub-specialty concentration in 18 Active CMS HCPCS Codes.
Procedural volume for Dr. Qualls is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 399 annual services, $162–$222 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 231/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 115/yr).
Cash-pay intake data for NPI 1790938405 (800 Rose St, Department of Emergency Medicine, Lexington) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 11-minute average reception wait and 4.78/5 biomarker openness.
Credentialed as an MD specialist with 21 years post-graduation experience since completing medical school at an LCME/COCA institution (2005), Dr. Qualls coordinates 18 Active CMS HCPCS Codes workups from 800 Rose St, Department of Emergency Medicine (+1-305-555-4141).
Compared against Lexington, KY Emergency Medicine peers
887 annual services across 565 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 | 399 | 37.93th | $162 – $222 |
| 99213 | Established Preventive & Chronic Care Visit | 231 | 37.93th | $124 – $170 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 115 | 39.93th | $59 – $81 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 89 | 41.93th | $190 – $261 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 53 | 42.93th | $226 – $309 |
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Dr. Ted Qualls, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Qualls National Provider Identifier | NPI #1790938405 (MD) | CMS NPPES Registry (40536) |
| Dr. Qualls Lexington CMS Volume Rank | 37.93th Pct (887 CMS svcs; Z -0.257σ) | 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 • 11 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.78/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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