Dr. Robert Spence, MD
6900 N Durango DR, Las Vegas, NV 89149 • +1-274-555-8860
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Las Vegas Percentiles
NPI #1588653125 • CBSA Regional • Emergency Medicine
Dr. Robert Spence, MD (NPI #1588653125) practices Emergency Medicine in Las Vegas, NV (89149) with sub-specialty concentration in 22 Active CMS HCPCS Codes, recording 746 annual CMS services across 503 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (45.95th Las Vegas percentile) (-0.18σ vs NV state mean, 47.62th statewide percentile).
Fee-schedule auditing of NPI 1588653125 highlights 336 annual claims for 99214 (45.95th Las Vegas percentile; $189–$260 self-pay corridor) plus 194 encounters under 99213 and 97 under 93000.
Cash-pay intake data for NPI 1588653125 (6900 N Durango DR, Las Vegas) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 16-minute average reception wait and 4.70/5 biomarker openness.
Patients evaluating Dr. Robert Spence in ZIP 89149 note 17 years of post-doctoral tenure (null, 2009) alongside 1.5 annual CMS procedures per patient.
Compared against Las Vegas, NV Emergency Medicine peers
746 annual services across 503 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 | 336 | 45.95th | $189 – $260 |
| 99213 | Established Preventive & Chronic Care Visit | 194 | 40.95th | $145 – $199 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 97 | 44.95th | $69 – $95 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 75 | 40.95th | $222 – $305 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 45 | 47.95th | $263 – $361 |
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Dr. Robert Spence, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spence National Provider Identifier | NPI #1588653125 (MD) | CMS NPPES Registry (89149) |
| Dr. Spence Las Vegas CMS Volume Rank | 45.95th Pct (746 CMS svcs; Z -0.177σ) | CMS Medicare Part B (NV Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Las Vegas, NV) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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