Dr. Justin Roby, MD
241 Church St, Hayesville, NC 28904 • +1-457-555-4356
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Hayesville Percentiles
NPI #1588639496 • CBSA Regional • Family Practice
Operating out of Hayesville, NC (241 Church St), Family Practice clinician Dr. Justin Roby, MD (accredited MD/DO training, 1993) maintains a focused low-volume boutique caseload (33.33th Hayesville percentile) (25.3th NC percentile; Z-score -0.19σ across 990 documented services) with sub-specialty concentration in 55 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1588639496 highlights 396 annual claims for 99214 (33.33th Hayesville percentile; $140–$192 self-pay corridor) plus 292 encounters under 99213 and 113 under G0439.
Uninsured and high-deductible cash patients visiting Dr. Justin Roby in Hayesville (28904) face an estimated $209.00 initial evaluation fee at 241 Church St (hybrid in-clinic and telehealth video consults; 17-minute average reception wait; bedside manner 4.57/5 from 25 verified reports).
Spanning 33 years of clinical practice following 1993 graduation from medical training, Dr. Justin Roby integrates 55 Active CMS HCPCS Codes diagnostics for Hayesville metro patients.
Compared against Hayesville, NC Family Practice peers
990 annual services across 214 beneficiaries
Standard deviations from NC Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 396 | 33.33th | $140 – $192 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 292 | 33.33th | $107 – $147 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 113 | 37.33th | $161 – $220 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 85 | 37.33th | $30 – $45 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 57 | 30.33th | $192 – $264 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (55 HCPCS billing breadth) | 47 | 33.33th | $126 – $183 |
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Dr. Justin Roby, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Roby National Provider Identifier | NPI #1588639496 (MD) | CMS NPPES Registry (28904) |
| Dr. Roby Hayesville CMS Volume Rank | 33.33th Pct (990 CMS svcs; Z -0.192σ) | CMS Medicare Part B (NC Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Hayesville, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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