Dr. Stephen Plantholt, MD
3407 Wilkens Ave, Suite 300, Baltimore, MD 21229 • +1-357-555-7007
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Baltimore Percentiles
NPI #1265426274 • CBSA Regional • Cardiology
Dr. Stephen Plantholt, MD (NPI #1265426274) practices Cardiology in Baltimore, MD (21229) with sub-specialty concentration in 36 Active CMS HCPCS Codes, recording 4,414 annual CMS services across 1,519 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (71.56th Baltimore percentile) (-0.06σ vs MD state mean, 54.69th statewide percentile).
Fee-schedule auditing of NPI 1265426274 highlights 1677 annual claims for 99214 (71.56th Baltimore percentile; $122–$167 self-pay corridor) plus 1236 encounters under 93000 and 795 under 93306.
For out-of-network patients contacting +1-357-555-7007, Dr. Plantholt's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.72/5 composite reality score over 23 submissions).
Patients evaluating Dr. Stephen Plantholt in ZIP 21229 note 17 years of post-doctoral tenure (null, 2009) alongside 2.9 annual CMS procedures per patient.
Compared against Baltimore, MD Cardiology peers
4,414 annual services across 1,519 beneficiaries
Standard deviations from MD Cardiology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Cardiology Consultation & Hemodynamic Review | 1,677 | 71.56th | $122 – $167 |
| 93000 | 12-Lead Resting Electrocardiogram (ECG) w/ Interpretation | 1,236 | 72.56th | $48 – $65 |
| 93306 | Complete Transthoracic Echocardiography w/ Doppler & Color Flow | 795 | 76.56th | $228 – $312 |
| 93224 | 24-Hour Ambulatory ECG Rhythm Monitoring & Analysis | 441 | 69.56th | $143 – $196 |
| 99204 | Comprehensive New Patient Cardiovascular Risk Evaluation | 265 | 73.56th | $175 – $240 |
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Dr. Stephen Plantholt, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Plantholt National Provider Identifier | NPI #1265426274 (MD) | CMS NPPES Registry (21229) |
| Dr. Plantholt Baltimore CMS Volume Rank | 71.56th Pct (4,414 CMS svcs; Z -0.064σ) | CMS Medicare Part B (MD Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Baltimore, MD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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