Dr. Joel Spielman, MD
600 Mount Pleasant Ave Ste A, Dover, NJ 07801 • +1-535-555-1327
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Dover Percentiles
NPI #1568555019 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across NJ Orthopedic Surgery providers positions Dr. Joel Spielman, MD in Dover at -0.47σ (0th city percentile / 37.16th state percentile, 435 Medicare beneficiaries), with clinical focus spanning 45 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1568555019 highlights 794 annual claims for 99213 (12th Dover percentile; $123–$168 self-pay corridor) plus 596 encounters under 20610 and 419 under 73562.
Self-pay new patient consultations with Dr. Spielman (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 14-minute average reception wait, and a 4.56/5 modern protocol openness score across 6 patient logs.
Credentialed as an MD specialist with 28 years post-graduation experience since completing medical school at an LCME/COCA institution (1998), Dr. Spielman coordinates 45 Active CMS HCPCS Codes workups from 600 Mount Pleasant Ave Ste A (+1-535-555-1327).
Compared against Dover, NJ Orthopedic Surgery peers
2,206 annual services across 435 beneficiaries
Standard deviations from NJ 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 | 794 | 12th | $123 – $168 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 596 | 12th | $131 – $179 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 419 | 12th | $73 – $100 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 243 | 12th | $176 – $241 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 154 | 12th | $1133 – $1553 |
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Dr. Joel Spielman, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spielman National Provider Identifier | NPI #1568555019 (MD) | CMS NPPES Registry (07801) |
| Dr. Spielman Dover CMS Volume Rank | 0.00th Pct (2,206 CMS svcs; Z -0.474σ) | CMS Medicare Part B (NJ Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Dover, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.56/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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