Dr. Karl Blum, MD
530 Lakehurst Rd Ste 101, Toms River, NJ 08755 • +1-636-555-5246
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Toms River Percentiles
NPI #1154361285 • CBSA Regional • Orthopedic Surgery
Within the Toms River, NJ (CBSA local) Orthopedic Surgery cohort, Dr. Karl Blum, MD with sub-specialty concentration in 84 Active CMS HCPCS Codes ranks at the 85.71th municipal percentile and 97.49th NJ percentile (+3.29σ Z-score) based on 36,696 billed procedures for 878 patients.
Dr. Blum's longitudinal care intensity (41.8 billed units per patient across 878 individuals) centers on 99213 (1370 annual units) and 20610 ($37–$52 cash range).
Direct cash-pay transparency modeling sets Dr. Blum's baseline new-consult rate near $209.00 in Toms River, NJ (cash-pay accepted, hybrid in-clinic and telehealth video consults, 10-minute average reception wait).
Spanning 26 years of clinical practice following 2000 graduation from medical training, Dr. Karl Blum integrates 84 Active CMS HCPCS Codes diagnostics for Toms River metro patients.
Compared against Toms River, NJ Orthopedic Surgery peers
36,696 annual services across 878 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 | 1,370 | 85.71th | $35 – $50 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 1,027 | 87.71th | $37 – $52 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 723 | 80.71th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 419 | 82.71th | $50 – $68 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 266 | 90.71th | $321 – $440 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (84 HCPCS billing breadth) | 32,891 | 85.71th | $45 – $65 |
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Dr. Karl Blum, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Blum National Provider Identifier | NPI #1154361285 (MD) | CMS NPPES Registry (08755) |
| Dr. Blum Toms River CMS Volume Rank | 85.71th Pct (36,696 CMS svcs; Z +3.292σ) | CMS Medicare Part B (NJ Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Toms River, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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