Dr. James Rial, MD
31455 Winterplace Pkwy, Salisbury, MD 21804 • +1-947-555-8621
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Salisbury Percentiles
NPI #1841293826 • CBSA Regional • Ophthalmology
Statistical peer benchmarking across MD Ophthalmology providers positions Dr. James Rial, MD in Salisbury at +0.10σ (90.91th city percentile / 97.98th state percentile, 2,164 Medicare beneficiaries), with clinical focus spanning 46 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1841293826 highlights 4864 annual claims for 92014 (90.91th Salisbury percentile; $102–$140 self-pay corridor) plus 3418 encounters under 92134 and 2235 under 92083.
Direct cash-pay transparency modeling sets Dr. Rial's baseline new-consult rate near $209.00 in Salisbury, MD (cash-pay accepted, in-person clinic visits only, 22-minute average reception wait).
Spanning 31 years of clinical practice following 1995 graduation from medical training, Dr. James Rial integrates 46 Active CMS HCPCS Codes diagnostics for Salisbury metro patients.
Top 10% Ophthalmology volume leader in Salisbury, MD
98,285 annual services across 2,164 beneficiaries
Standard deviations from MD Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 4,864 | 90.91th | $102 – $140 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 3,418 | 91.91th | $56 – $77 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 2,235 | 91.91th | $68 – $93 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 1,578 | 91.91th | $123 – $169 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 1,052 | 90.91th | $450 – $617 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (46 HCPCS billing breadth) | 85,139 | 90.91th | $90 – $131 |
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Dr. James Rial, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rial National Provider Identifier | NPI #1841293826 (MD) | CMS NPPES Registry (21804) |
| Dr. Rial Salisbury CMS Volume Rank | 90.91th Pct (98,285 CMS svcs; Z +0.100σ) | CMS Medicare Part B (MD Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Salisbury, MD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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