Dr. Joshua Rother, MD
1000 E 1st St, Suite 400, Duluth, MN 55805 • +1-386-555-9518
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Duluth Percentiles
NPI #1417900358 • CBSA Regional • Orthopedic Surgery
Dr. Joshua Rother, MD (NPI #1417900358) practices Orthopedic Surgery in Duluth, MN (55805) with sub-specialty concentration in 61 Active CMS HCPCS Codes, recording 1,146 annual CMS services across 240 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (55.56th Duluth percentile) (-0.49σ vs MN state mean, 35.15th statewide percentile).
Medicare Part B line-item claims for Dr. Joshua Rother (55805) place 99213 at the top of the practice ledger (228 yearly units, 55.56th metro rank), rounded out by 20610 and 73562.
Self-pay new patient consultations with Dr. Rother (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 19-minute average reception wait, and a 4.73/5 modern protocol openness score across 11 patient logs.
NPI registry verification (#1417900358) confirms Dr. Joshua Rother's MD standing serving CBSA 55805 with a 4.68/5 patient scorecard.
Compared against Duluth, MN Orthopedic Surgery peers
1,146 annual services across 240 beneficiaries
Standard deviations from MN 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 | 228 | 55.56th | $140 – $192 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 171 | 59.56th | $149 – $204 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 120 | 59.56th | $84 – $115 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 70 | 56.56th | $201 – $275 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 44 | 53.56th | $1292 – $1770 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (61 HCPCS billing breadth) | 513 | 55.56th | $158 – $229 |
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Dr. Joshua Rother, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rother National Provider Identifier | NPI #1417900358 (MD) | CMS NPPES Registry (55805) |
| Dr. Rother Duluth CMS Volume Rank | 55.56th Pct (1,146 CMS svcs; Z -0.495σ) | CMS Medicare Part B (MN Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Duluth, MN) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.65/5 Listening • 4.73/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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