Dr. Denise Spence, MD
100 University DR, 1st Floor, Amherst, MA 01002 • +1-607-555-5475
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Amherst Percentiles
NPI #1447358106 • CBSA Regional • Internal Medicine
Within the Amherst, MA (CBSA local) Internal Medicine cohort, Dr. Denise Spence, MD with sub-specialty concentration in 43 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 71.58th MA percentile (-0.04σ Z-score) based on 2,139 billed procedures for 547 patients.
Medicare Part B line-item claims for Dr. Denise Spence (01002) place 99214 at the top of the practice ledger (854 yearly units, 12th metro rank), rounded out by 99213 and 93000.
At 100 University DR, 1st Floor (01002), Dr. Denise Spence, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$224.00 per new consult (4.86/5 bedside rating).
Clinical background for Dr. Spence (MD, NPI #1447358106) includes accredited doctoral training (2013, 13 yrs in practice) and dedicated on-site consultations at 100 University DR, 1st Floor.
Compared against Amherst, MA Internal Medicine peers
2,139 annual services across 547 beneficiaries
Standard deviations from MA 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 | 854 | 12th | $161 – $220 |
| 99213 | Established Preventive & Chronic Care Visit | 493 | 12th | $123 – $168 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 247 | 12th | $59 – $80 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 190 | 12th | $189 – $258 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 114 | 12th | $223 – $306 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (43 HCPCS billing breadth) | 242 | 0th | $145 – $210 |
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Dr. Denise Spence, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spence National Provider Identifier | NPI #1447358106 (MD) | CMS NPPES Registry (01002) |
| Dr. Spence Amherst CMS Volume Rank | 0.00th Pct (2,139 CMS svcs; Z -0.038σ) | CMS Medicare Part B (MA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Amherst, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 20 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.78/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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