Dr. Mark Wilson, MD
240 Riverside DR, Johnson City, NY 13790 • +1-288-555-9950
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Johnson City Percentiles
NPI #1215951579 • CBSA Regional • Orthopedic Surgery
Dr. Mark Wilson, MD (NPI #1215951579) practices Orthopedic Surgery in Johnson City, NY (13790) with sub-specialty concentration in 39 Active CMS HCPCS Codes, recording 702 annual CMS services across 291 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Johnson City percentile) (-0.49σ vs NY state mean, 2.99th statewide percentile).
Fee-schedule auditing of NPI 1215951579 highlights 253 annual claims for 99213 (12th Johnson City percentile; $237–$324 self-pay corridor) plus 190 encounters under 20610 and 133 under 73562.
Uninsured and high-deductible cash patients visiting Dr. Mark Wilson in Johnson City (13790) face an estimated $232.00 initial evaluation fee at 240 Riverside DR (in-person clinic visits only; 12-minute average reception wait; bedside manner 4.76/5 from 6 verified reports).
Spanning 13 years of clinical practice following 2013 graduation from medical training, Dr. Mark Wilson integrates 39 Active CMS HCPCS Codes diagnostics for Johnson City metro patients.
Compared against Johnson City, NY Orthopedic Surgery peers
702 annual services across 291 beneficiaries
Standard deviations from NY 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 | 253 | 12th | $237 – $324 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 190 | 12th | $252 – $346 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 133 | 12th | $142 – $194 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 77 | 12th | $340 – $466 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 49 | 12th | $2188 – $2998 |
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Dr. Mark Wilson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wilson National Provider Identifier | NPI #1215951579 (MD) | CMS NPPES Registry (13790) |
| Dr. Wilson Johnson City CMS Volume Rank | 0.00th Pct (702 CMS svcs; Z -0.495σ) | CMS Medicare Part B (NY Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Johnson City, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 12 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.73/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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