Dr. Edward Grimball, MD
402 Bogle St, Ste 3, Somerset, KY 42503 • +1-876-555-2090
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Somerset Percentiles
NPI #1144211541 • CBSA Regional • Emergency Medicine
Dr. Edward Grimball, MD (NPI #1144211541) practices Emergency Medicine in Somerset, KY (42503) with sub-specialty concentration in 31 Active CMS HCPCS Codes, recording 941 annual CMS services across 580 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Somerset percentile) (-0.18σ vs KY state mean, 51.91th statewide percentile).
Procedural volume for Dr. Grimball is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 423 annual services, $166–$227 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 245/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 122/yr).
Cash-pay intake data for NPI 1144211541 (402 Bogle St, Ste 3, Somerset) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 16-minute average reception wait and 4.52/5 biomarker openness.
From 402 Bogle St, Ste 3 in Somerset (+1-876-555-2090), Dr. Grimball, MD (24-year clinical track record) delivers 31 Active CMS HCPCS Codes care.
Compared against Somerset, KY Emergency Medicine peers
941 annual services across 580 beneficiaries
Standard deviations from KY Emergency Medicine 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 | 423 | 50th | $166 – $227 |
| 99213 | Established Preventive & Chronic Care Visit | 245 | 49th | $127 – $174 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 122 | 55th | $61 – $83 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 94 | 47th | $195 – $267 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 56 | 54th | $231 – $316 |
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Dr. Edward Grimball, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Grimball National Provider Identifier | NPI #1144211541 (MD) | CMS NPPES Registry (42503) |
| Dr. Grimball Somerset CMS Volume Rank | 50.00th Pct (941 CMS svcs; Z -0.185σ) | CMS Medicare Part B (KY Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Somerset, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.55/5 Listening • 4.52/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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