Dr. Matthew Spivey, MD
7210 Village Medical Cir Ste 110, Clemmons, NC 27012 • +1-300-555-8345
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Clemmons Percentiles
NPI #1619331873 • CBSA Regional • Orthopedic Surgery
Dr. Matthew Spivey, MD (NPI #1619331873) practices Orthopedic Surgery in Clemmons, NC (27012) with sub-specialty concentration in 39 Active CMS HCPCS Codes, recording 1,124 annual CMS services across 167 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (25th Clemmons percentile) (-0.53σ vs NC state mean, 21.97th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Spivey (averaging 6.7 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 20% of tracked volume (225 encounters), paired with 20610 (168x).
Direct cash-pay transparency modeling sets Dr. Spivey's baseline new-consult rate near $209.00 in Clemmons, NC (cash-pay accepted, hybrid in-clinic and telehealth video consults, 12-minute average reception wait).
Patients evaluating Dr. Matthew Spivey in ZIP 27012 note 14 years of post-doctoral tenure (null, 2012) alongside 6.7 annual CMS procedures per patient.
Compared against Clemmons, NC Orthopedic Surgery peers
1,124 annual services across 167 beneficiaries
Standard deviations from NC 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 | 225 | 25th | $75 – $103 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 168 | 29th | $80 – $110 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 119 | 30th | $45 – $62 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 69 | 30th | $108 – $148 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 44 | 21th | $697 – $955 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (39 HCPCS billing breadth) | 500 | 25th | $85 – $123 |
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Dr. Matthew Spivey, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spivey National Provider Identifier | NPI #1619331873 (MD) | CMS NPPES Registry (27012) |
| Dr. Spivey Clemmons CMS Volume Rank | 25.00th Pct (1,124 CMS svcs; Z -0.526σ) | CMS Medicare Part B (NC Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Clemmons, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.43/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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