Dr. Mathew Phillips, MD
8620 Biggin Hill Ln, Louisville, KY 40220 • +1-756-555-5485
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Louisville Percentiles
NPI #1619172947 • CBSA Regional • Orthopedic Surgery
Dr. Mathew Phillips, MD (NPI #1619172947) practices Orthopedic Surgery in Louisville, KY (40220) with sub-specialty concentration in 65 Active CMS HCPCS Codes, recording 1,456 annual CMS services across 320 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (23.53th Louisville percentile) (-0.46σ vs KY state mean, 31.11th statewide percentile).
Fee-schedule auditing of NPI 1619172947 highlights 524 annual claims for 99213 (23.53th Louisville percentile; $121–$165 self-pay corridor) plus 393 encounters under 20610 and 277 under 73562.
Self-pay new patient consultations with Dr. Phillips (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 14-minute average reception wait, and a 4.89/5 modern protocol openness score across 22 patient logs.
Clinical background for Dr. Phillips (MD, NPI #1619172947) includes accredited doctoral training (2002, 24 yrs in practice) and virtual + in-office availability across KY.
Compared against Louisville, KY Orthopedic Surgery peers
1,456 annual services across 320 beneficiaries
Standard deviations from KY Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 524 | 23.53th | $121 – $165 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 393 | 24.53th | $128 – $176 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 277 | 24.53th | $72 – $99 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 160 | 20.53th | $173 – $237 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 102 | 20.53th | $1114 – $1526 |
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Dr. Mathew Phillips, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Phillips National Provider Identifier | NPI #1619172947 (MD) | CMS NPPES Registry (40220) |
| Dr. Phillips Louisville CMS Volume Rank | 23.53th Pct (1,456 CMS svcs; Z -0.462σ) | CMS Medicare Part B (KY Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Louisville, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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