Dr. Evan Gaines, MD
350 S Main St, New City, NY 10956 • +1-928-555-1712
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & New City Percentiles
NPI #1548414725 • CBSA Regional • Orthopedic Surgery
Anchored in New City, NY 10956, Dr. Evan Gaines, MD (NPI 1548414725) logged 8,891 annual procedures (top-decile high-throughput specialist (99th percentile in New City), 87.55th NY percentile, +0.43σ) with sub-specialty concentration in 86 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1548414725 highlights 440 annual claims for 99213 (99th New City percentile; $39–$54 self-pay corridor) plus 330 encounters under 20610 and 232 under 73562.
Self-pay new patient consultations with Dr. Gaines (CPT 99204 GPCI-adjusted benchmark) estimate around $232.00 (community reported average: $232.00) with hybrid in-clinic and telehealth video consults, 11-minute average reception wait, and a 4.88/5 modern protocol openness score across 7 patient logs.
Credentialed as an MD specialist with 30 years post-graduation experience since completing medical school at an LCME/COCA institution (1996), Dr. Gaines coordinates 86 Active CMS HCPCS Codes workups from 350 S Main St (+1-928-555-1712).
Top 10% Orthopedic Surgery volume leader in New City, NY
8,891 annual services across 405 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 | 440 | 99th | $39 – $54 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 330 | 99th | $41 – $56 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 232 | 96th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 134 | 98th | $55 – $76 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 85 | 99.5th | $357 – $489 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (86 HCPCS billing breadth) | 7,670 | 99th | $45 – $65 |
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Dr. Evan Gaines, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gaines National Provider Identifier | NPI #1548414725 (MD) | CMS NPPES Registry (10956) |
| Dr. Gaines New City CMS Volume Rank | 99.00th Pct (8,891 CMS svcs; Z +0.433σ) | CMS Medicare Part B (NY Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (New City, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 11 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.88/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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