Dr. Oliver James, MD
120 Prosperous Pl Ste 102, Lexington, KY 40509 • +1-747-555-4292
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Lexington Percentiles
NPI #1194727701 • CBSA Regional • Pain Management
Dr. Oliver James, MD (NPI #1194727701) practices Pain Management in Lexington, KY (40509) with sub-specialty concentration in 50 Active CMS HCPCS Codes, recording 8,701 annual CMS services across 600 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (70th Lexington percentile) (+0.21σ vs KY state mean, 65.79th statewide percentile).
Granular CPT/HCPCS billing distribution at 120 Prosperous Pl Ste 102 shows Dr. Oliver James's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 2721x/yr, 70th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 1572x/yr, $58–$80).
At 120 Prosperous Pl Ste 102 (40509), Dr. Oliver James, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.60/5 bedside rating).
NPI registry verification (#1194727701) confirms Dr. Oliver James's MD standing serving CBSA 40509 with a 4.57/5 patient scorecard.
Compared against Lexington, KY Pain Management peers
8,701 annual services across 600 beneficiaries
Standard deviations from KY Pain Management 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 | 2,721 | 70th | $76 – $104 |
| 99213 | Established Preventive & Chronic Care Visit | 1,572 | 66th | $58 – $80 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 786 | 71th | $28 – $43 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 605 | 68th | $89 – $122 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 363 | 69th | $106 – $145 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (50 HCPCS billing breadth) | 2,654 | 70th | $68 – $99 |
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Dr. Oliver James, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. James National Provider Identifier | NPI #1194727701 (MD) | CMS NPPES Registry (40509) |
| Dr. James Lexington CMS Volume Rank | 70.00th Pct (8,701 CMS svcs; Z +0.215σ) | CMS Medicare Part B (KY Pain Management) |
| 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 • 22 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.69/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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