Dr. James Lipstate, MD
4212 W Congress St Ste 2300a, Lafayette, LA 70506 • +1-925-555-3018
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Lafayette Percentiles
NPI #1043260607 • CBSA Regional • Rheumatology
Anchored in Lafayette, LA 70506, Dr. James Lipstate, MD (NPI 1043260607) logged 168,231 annual procedures (focused low-volume boutique caseload (33.33th Lafayette percentile), 82.5th LA percentile, +0.72σ) with sub-specialty concentration in 64 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Lipstate (averaging 207.4 services per beneficiary), 99214 (Autoimmune Arthritis & Biologic/DMARD Safety Evaluation) represents 3% of tracked volume (5468 encounters), paired with 20610 (2496x).
Uninsured and high-deductible cash patients visiting Dr. James Lipstate in Lafayette (70506) face an estimated $209.00 initial evaluation fee at 4212 W Congress St Ste 2300a (hybrid in-clinic and telehealth video consults; 22-minute average reception wait; bedside manner 4.81/5 from 20 verified reports).
From 4212 W Congress St Ste 2300a in Lafayette (+1-925-555-3018), Dr. Lipstate, MD (8-year clinical track record) delivers 64 Active CMS HCPCS Codes care.
Compared against Lafayette, LA Rheumatology peers
168,231 annual services across 811 beneficiaries
Standard deviations from LA Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 5,468 | 33.33th | $45 – $62 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 2,496 | 36.33th | $36 – $51 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 1,783 | 31.33th | $62 – $85 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 1,189 | 32.33th | $47 – $65 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 951 | 30.33th | $62 – $85 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (64 HCPCS billing breadth) | 156,344 | 33.33th | $45 – $65 |
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Dr. James Lipstate, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lipstate National Provider Identifier | NPI #1043260607 (MD) | CMS NPPES Registry (70506) |
| Dr. Lipstate Lafayette CMS Volume Rank | 33.33th Pct (168,231 CMS svcs; Z +0.725σ) | CMS Medicare Part B (LA Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lafayette, LA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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