Dr. Justin Gagel, MD
900 S Limestone Ctw 304, Lexington, KY 40536 • +1-305-555-9604
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Lexington Percentiles
NPI #1790216778 • CBSA Regional • Ophthalmology
Statistical peer benchmarking across KY Ophthalmology providers positions Dr. Justin Gagel, MD in Lexington at -0.42σ (44.68th city percentile / 40.14th state percentile, 937 Medicare beneficiaries), with clinical focus spanning 27 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Gagel (averaging 2.2 services per beneficiary), 92014 (Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam) represents 37% of tracked volume (756 encounters), paired with 92134 (531x).
Direct cash-pay transparency modeling sets Dr. Gagel's baseline new-consult rate near $209.00 in Lexington, KY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 15-minute average reception wait).
Clinical background for Dr. Gagel (MD, NPI #1790216778) includes accredited doctoral training (2014, 12 yrs in practice) and virtual + in-office availability across KY.
Compared against Lexington, KY Ophthalmology peers
2,043 annual services across 937 beneficiaries
Standard deviations from KY Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 756 | 44.68th | $224 – $306 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 531 | 44.68th | $123 – $169 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 347 | 47.68th | $148 – $203 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 245 | 43.68th | $269 – $369 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 163 | 41.68th | $985 – $1350 |
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Dr. Justin Gagel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gagel National Provider Identifier | NPI #1790216778 (MD) | CMS NPPES Registry (40536) |
| Dr. Gagel Lexington CMS Volume Rank | 44.68th Pct (2,043 CMS svcs; Z -0.418σ) | CMS Medicare Part B (KY Ophthalmology) |
| 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 • 15 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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