Dr. Theresa Wolfe, MD
1207 S Broadway, Lexington, KY 40504 • +1-593-555-1972
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Lexington Percentiles
NPI #1316152069 • CBSA Regional • Physical Medicine and Rehabilitation
Dr. Theresa Wolfe, MD (NPI #1316152069) practices Physical Medicine and Rehabilitation in Lexington, KY (40504) with sub-specialty concentration in 48 Active CMS HCPCS Codes, recording 4,836 annual CMS services across 179 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (76.47th Lexington percentile) (-0.12σ vs KY state mean, 75.51th statewide percentile).
Fee-schedule auditing of NPI 1316152069 highlights 286 annual claims for 99214 (76.47th Lexington percentile; $43–$60 self-pay corridor) plus 165 encounters under 99213 and 83 under 93000.
At 1207 S Broadway (40504), Dr. Theresa Wolfe, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.89/5 bedside rating).
NPI registry verification (#1316152069) confirms Dr. Theresa Wolfe's MD standing serving CBSA 40504 with a 4.77/5 patient scorecard.
Compared against Lexington, KY Physical Medicine and Rehabilitation peers
4,836 annual services across 179 beneficiaries
Standard deviations from KY Physical Medicine and Rehabilitation 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 | 286 | 76.47th | $43 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 165 | 80.47th | $33 – $48 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 83 | 71.47th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 64 | 74.47th | $51 – $70 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 38 | 76.47th | $60 – $83 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (48 HCPCS billing breadth) | 4,200 | 76.47th | $45 – $65 |
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Dr. Theresa Wolfe, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wolfe National Provider Identifier | NPI #1316152069 (MD) | CMS NPPES Registry (40504) |
| Dr. Wolfe Lexington CMS Volume Rank | 76.47th Pct (4,836 CMS svcs; Z -0.116σ) | CMS Medicare Part B (KY Physical Medicine and Rehabilitation) |
| 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 | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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