Dr. Troy Shields, MD
555 N Arlington Ave, Reno, NV 89503 • +1-571-555-5993
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Reno Percentiles
NPI #1285011007 • CBSA Regional • Orthopedic Surgery
Anchored in Reno, NV 89503, Dr. Troy Shields, MD (NPI 1285011007) logged 2,153 annual procedures (mid-cohort balanced caseload (60.61th Reno percentile), 48.8th NV percentile, -0.41σ) with sub-specialty concentration in 44 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1285011007 highlights 312 annual claims for 99213 (60.61th Reno percentile; $76–$104 self-pay corridor) plus 234 encounters under 20610 and 165 under 73562.
At 555 N Arlington Ave (89503), Dr. Troy Shields, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.61/5 bedside rating).
From 555 N Arlington Ave in Reno (+1-571-555-5993), Dr. Shields, MD (32-year clinical track record) delivers 44 Active CMS HCPCS Codes care.
Compared against Reno, NV Orthopedic Surgery peers
2,153 annual services across 271 beneficiaries
Standard deviations from NV 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 | 312 | 60.61th | $76 – $104 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 234 | 65.61th | $81 – $110 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 165 | 58.61th | $45 – $62 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 95 | 61.61th | $108 – $149 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 61 | 63.61th | $699 – $957 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (44 HCPCS billing breadth) | 1,286 | 60.61th | $85 – $123 |
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Dr. Troy Shields, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shields National Provider Identifier | NPI #1285011007 (MD) | CMS NPPES Registry (89503) |
| Dr. Shields Reno CMS Volume Rank | 60.61th Pct (2,153 CMS svcs; Z -0.412σ) | CMS Medicare Part B (NV Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Reno, NV) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.48/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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