Dr. Sara Ream, MD
1600 Medical Pkwy, Carson City, NV 89703 • +1-961-555-5163
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Carson City Percentiles
NPI #1013195296 • CBSA Regional • Emergency Medicine
Operating out of Carson City, NV (1600 Medical Pkwy), Emergency Medicine clinician Dr. Sara Ream, MD (accredited MD/DO training, 2003) maintains a focused low-volume boutique caseload (33.33th Carson City percentile) (36.51th NV percentile; Z-score -0.18σ across 706 documented services) with sub-specialty concentration in 13 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Sara Ream (89703) place 99214 at the top of the practice ledger (318 yearly units, 33.33th metro rank), rounded out by 99213 and 93000.
Direct cash-pay transparency modeling sets Dr. Ream's baseline new-consult rate near $209.00 in Carson City, NV (cash-pay accepted, hybrid in-clinic and telehealth video consults, 14-minute average reception wait).
NPI registry verification (#1013195296) confirms Dr. Sara Ream's MD standing serving CBSA 89703 with a 4.69/5 patient scorecard.
Compared against Carson City, NV Emergency Medicine peers
706 annual services across 480 beneficiaries
Standard deviations from NV Emergency Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 318 | 33.33th | $186 – $255 |
| 99213 | Established Preventive & Chronic Care Visit | 184 | 29.33th | $143 – $195 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 92 | 33.33th | $68 – $93 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 71 | 33.33th | $219 – $300 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 42 | 35.33th | $259 – $355 |
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Dr. Sara Ream, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ream National Provider Identifier | NPI #1013195296 (MD) | CMS NPPES Registry (89703) |
| Dr. Ream Carson City CMS Volume Rank | 33.33th Pct (706 CMS svcs; Z -0.183σ) | CMS Medicare Part B (NV Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Carson City, NV) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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