Dr. Matthew Shea, DO
104 Hardin Ln Ste A, Somerset, KY 42503 • +1-876-555-9723
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Somerset Percentiles
NPI #1700270949 • CBSA Regional • Internal Medicine
Dr. Matthew Shea, DO (NPI #1700270949) practices Internal Medicine in Somerset, KY (42503) with sub-specialty concentration in 16 Active CMS HCPCS Codes, recording 1,000 annual CMS services across 313 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Somerset percentile) (-0.24σ vs KY state mean, 29.14th statewide percentile).
Medicare Part B line-item claims for Dr. Matthew Shea (42503) place 99214 at the top of the practice ledger (450 yearly units, 50th metro rank), rounded out by 99213 and 93000.
Cash-pay intake data for NPI 1700270949 (104 Hardin Ln Ste A, Somerset) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 20-minute average reception wait and 4.55/5 biomarker openness.
Clinical background for Dr. Shea (DO, NPI #1700270949) includes accredited doctoral training (2003, 23 yrs in practice) and virtual + in-office availability across KY.
Compared against Somerset, KY Internal Medicine peers
1,000 annual services across 313 beneficiaries
Standard deviations from KY Internal 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 | 450 | 50th | $281 – $384 |
| 99213 | Established Preventive & Chronic Care Visit | 260 | 48th | $215 – $294 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 130 | 51th | $102 – $140 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 100 | 50th | $329 – $451 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 60 | 45th | $390 – $535 |
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Dr. Matthew Shea, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shea National Provider Identifier | NPI #1700270949 (DO) | CMS NPPES Registry (42503) |
| Dr. Shea Somerset CMS Volume Rank | 50.00th Pct (1,000 CMS svcs; Z -0.236σ) | CMS Medicare Part B (KY Internal 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 • 20 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.55/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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