Dr. Derek Kram, MD
1400 Forest Glen Rd, Suite 400, Silver Spring, MD 20910 • +1-481-555-1381
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Silver Spring Percentiles
NPI #1184616708 • CBSA Regional • Orthopedic Surgery
Operating out of Silver Spring, MD (1400 Forest Glen Rd, Suite 400), Orthopedic Surgery clinician Dr. Derek Kram, MD (accredited MD/DO training, 2010) maintains a focused low-volume boutique caseload (10th Silver Spring percentile) (13.55th MD percentile; Z-score -0.61σ across 1,237 documented services) with sub-specialty concentration in 61 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1184616708 highlights 290 annual claims for 99213 (12th Silver Spring percentile; $85–$117 self-pay corridor) plus 217 encounters under 20610 and 153 under 73562.
For out-of-network patients contacting +1-481-555-1381, Dr. Kram's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.53/5 composite reality score over 24 submissions).
Clinical background for Dr. Kram (MD, NPI #1184616708) includes accredited doctoral training (2010, 16 yrs in practice) and dedicated on-site consultations at 1400 Forest Glen Rd, Suite 400.
Compared against Silver Spring, MD Orthopedic Surgery peers
1,237 annual services across 169 beneficiaries
Standard deviations from MD Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 290 | 12th | $85 – $117 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 217 | 14th | $91 – $125 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 153 | 12th | $51 – $70 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 89 | 12th | $122 – $168 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 56 | 12th | $788 – $1080 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (61 HCPCS billing breadth) | 432 | 10th | $96 – $139 |
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Dr. Derek Kram, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kram National Provider Identifier | NPI #1184616708 (MD) | CMS NPPES Registry (20910) |
| Dr. Kram Silver Spring CMS Volume Rank | 10.00th Pct (1,237 CMS svcs; Z -0.606σ) | CMS Medicare Part B (MD Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Silver Spring, MD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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