Dr. Karen Grove, MD
2351 Erwin Rd, Durham, NC 27705 • +1-567-555-2581
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Durham Percentiles
NPI #1538327796 • CBSA Regional • Ophthalmology
Within the Durham, NC (CBSA local) Ophthalmology cohort, Dr. Karen Grove, MD with sub-specialty concentration in 34 Active CMS HCPCS Codes ranks at the 42.86th municipal percentile and 40.39th NC percentile (-0.18σ Z-score) based on 2,162 billed procedures for 771 patients.
Fee-schedule auditing of NPI 1538327796 highlights 800 annual claims for 92014 (42.86th Durham percentile; $295–$405 self-pay corridor) plus 562 encounters under 92134 and 368 under 92083.
Cash-pay intake data for NPI 1538327796 (2351 Erwin Rd, Durham) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 22-minute average reception wait and 4.92/5 biomarker openness.
Spanning 31 years of clinical practice following 1995 graduation from medical training, Dr. Karen Grove integrates 34 Active CMS HCPCS Codes diagnostics for Durham metro patients.
Compared against Durham, NC Ophthalmology peers
2,162 annual services across 771 beneficiaries
Standard deviations from NC 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 | 800 | 42.86th | $295 – $405 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 562 | 46.86th | $163 – $223 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 368 | 37.86th | $195 – $268 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 259 | 41.86th | $356 – $487 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 173 | 45.86th | $1302 – $1784 |
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Dr. Karen Grove, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Grove National Provider Identifier | NPI #1538327796 (MD) | CMS NPPES Registry (27705) |
| Dr. Grove Durham CMS Volume Rank | 42.86th Pct (2,162 CMS svcs; Z -0.181σ) | CMS Medicare Part B (NC Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Durham, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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