Dr. Rachel Shelton, MD
350 Hospital Way, Suite 270, Somerset, KY 42503 • +1-876-555-9032
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Somerset Percentiles
NPI #1215061304 • CBSA Regional • General Surgery
Operating out of Somerset, KY (350 Hospital Way, Suite 270), General Surgery clinician Dr. Rachel Shelton, MD (accredited MD/DO training, 2014) maintains a top-decile high-throughput specialist (99th percentile in Somerset) (86.44th KY percentile; Z-score +0.29σ across 1,498 documented services) with sub-specialty concentration in 24 Active CMS HCPCS Codes.
Dr. Shelton's longitudinal care intensity (10.5 billed units per patient across 143 individuals) centers on 99214 (674 annual units) and 99213 ($71–$98 cash range).
Self-pay new patient consultations with Dr. Shelton (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 4.80/5 modern protocol openness score across 10 patient logs.
Spanning 12 years of clinical practice following 2014 graduation from medical training, Dr. Rachel Shelton integrates 24 Active CMS HCPCS Codes diagnostics for Somerset metro patients.
Top 10% General Surgery volume leader in Somerset, KY
1,498 annual services across 143 beneficiaries
Standard deviations from KY General Surgery 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 | 674 | 99th | $93 – $128 |
| 99213 | Established Preventive & Chronic Care Visit | 389 | 99.5th | $71 – $98 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 195 | 99.5th | $34 – $49 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 150 | 97th | $109 – $150 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 90 | 99.5th | $130 – $177 |
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Dr. Rachel Shelton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shelton National Provider Identifier | NPI #1215061304 (MD) | CMS NPPES Registry (42503) |
| Dr. Shelton Somerset CMS Volume Rank | 99.00th Pct (1,498 CMS svcs; Z +0.292σ) | CMS Medicare Part B (KY General Surgery) |
| 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 • 14 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.88/5 Listening • 4.80/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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