Dr. James Rotramel, MD
901 Patients First DR, Washington, MO 63090 • +1-680-555-1677
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Washington Percentiles
NPI #1649212325 • CBSA Regional • Orthopedic Surgery
Operating out of Washington, MO (901 Patients First DR), Orthopedic Surgery clinician Dr. James Rotramel, MD (accredited MD/DO training, 2004) maintains a upper-quartile active clinical volume (83.33th Washington percentile) (65.4th MO percentile; Z-score -0.20σ across 3,301 documented services) with sub-specialty concentration in 60 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Rotramel (averaging 18.3 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 7% of tracked volume (221 encounters), paired with 20610 (166x).
At 901 Patients First DR (63090), Dr. James Rotramel, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.72/5 bedside rating).
From 901 Patients First DR in Washington (+1-680-555-1677), Dr. Rotramel, MD (22-year clinical track record) delivers 60 Active CMS HCPCS Codes care.
Compared against Washington, MO Orthopedic Surgery peers
3,301 annual services across 180 beneficiaries
Standard deviations from MO 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 | 221 | 83.33th | $35 – $50 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 166 | 78.33th | $38 – $53 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 117 | 80.33th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 68 | 81.33th | $51 – $70 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 43 | 78.33th | $327 – $448 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (60 HCPCS billing breadth) | 2,687 | 83.33th | $45 – $65 |
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Dr. James Rotramel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rotramel National Provider Identifier | NPI #1649212325 (MD) | CMS NPPES Registry (63090) |
| Dr. Rotramel Washington CMS Volume Rank | 83.33th Pct (3,301 CMS svcs; Z -0.196σ) | CMS Medicare Part B (MO Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Washington, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.40/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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