Dr. James Dodds, MD
200 Clinic DR, Madisonville, KY 42431 • +1-851-555-7805
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Madisonville Percentiles
NPI #1154375897 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across KY Orthopedic Surgery providers positions Dr. James Dodds, MD in Madisonville at -0.31σ (66.67th city percentile / 49.33th state percentile, 355 Medicare beneficiaries), with clinical focus spanning 66 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Dodds (averaging 6.8 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 22% of tracked volume (533 encounters), paired with 20610 (400x).
Direct cash-pay transparency modeling sets Dr. Dodds's baseline new-consult rate near $209.00 in Madisonville, KY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 10-minute average reception wait).
Patients evaluating Dr. James Dodds in ZIP 42431 note 24 years of post-doctoral tenure (null, 2002) alongside 6.8 annual CMS procedures per patient.
Compared against Madisonville, KY Orthopedic Surgery peers
2,399 annual services across 355 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 | 533 | 66.67th | $123 – $168 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 400 | 64.67th | $131 – $179 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 281 | 67.67th | $74 – $101 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 163 | 68.67th | $176 – $242 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 104 | 65.67th | $1136 – $1557 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (66 HCPCS billing breadth) | 919 | 66.67th | $139 – $202 |
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Dr. James Dodds, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Dodds National Provider Identifier | NPI #1154375897 (MD) | CMS NPPES Registry (42431) |
| Dr. Dodds Madisonville CMS Volume Rank | 66.67th Pct (2,399 CMS svcs; Z -0.312σ) | CMS Medicare Part B (KY Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Madisonville, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.55/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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