Dr. Carl Gilmore, MD
Msc08 4770, 1 University of New Mexico, Albuquerque, NM 87131 • +1-218-555-6928
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Albuquerque Percentiles
NPI #1003012493 • CBSA Regional • Orthopedic Surgery
Within the Albuquerque, NM (CBSA local) Orthopedic Surgery cohort, Dr. Carl Gilmore, MD with sub-specialty concentration in 70 Active CMS HCPCS Codes ranks at the 82.61th municipal percentile and 76.67th NM percentile (+0.14σ Z-score) based on 4,525 billed procedures for 490 patients.
Dr. Gilmore's longitudinal care intensity (9.2 billed units per patient across 490 individuals) centers on 99213 (622 annual units) and 20610 ($68–$93 cash range).
Direct cash-pay transparency modeling sets Dr. Gilmore's baseline new-consult rate near $209.00 in Albuquerque, NM (cash-pay accepted, in-person clinic visits only, 10-minute average reception wait).
Credentialed as an MD specialist with 22 years post-graduation experience since completing medical school at an LCME/COCA institution (2004), Dr. Gilmore coordinates 70 Active CMS HCPCS Codes workups from Msc08 4770, 1 University of New Mexico (+1-218-555-6928).
Compared against Albuquerque, NM Orthopedic Surgery peers
4,525 annual services across 490 beneficiaries
Standard deviations from NM 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 | 622 | 82.61th | $64 – $87 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 467 | 82.61th | $68 – $93 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 329 | 79.61th | $38 – $53 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 190 | 86.61th | $91 – $125 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 121 | 79.61th | $589 – $807 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (70 HCPCS billing breadth) | 2,796 | 82.61th | $72 – $104 |
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Dr. Carl Gilmore, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gilmore National Provider Identifier | NPI #1003012493 (MD) | CMS NPPES Registry (87131) |
| Dr. Gilmore Albuquerque CMS Volume Rank | 82.61th Pct (4,525 CMS svcs; Z +0.145σ) | CMS Medicare Part B (NM Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Albuquerque, NM) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.82/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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