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Emergency Medicine • New York, NY 10011 • NPI #1295078558

Dr. Lon Sproles, DO

175 W 12th St Apt 4d, New York, NY 10011 • +1-207-555-4736

Medical Education: Accredited U.S. Medical School (Class of 2001)

18 Active CMS HCPCS Codes
4.60/5
Waiting-Room Score
3 patient logs
$239.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & New York Percentiles

NPI #1295078558 • CBSA 35620 • Emergency Medicine

Dr. Lon Sproles DotMD Verification Badge

Anchored in New York, NY 10011, Dr. Lon Sproles, DO (NPI 1295078558) logged 1,073 annual procedures (upper-quartile active clinical volume (68.66th New York percentile), 70.52th NY percentile, -0.10σ) with sub-specialty concentration in 18 Active CMS HCPCS Codes.

Dr. Sproles's longitudinal care intensity (1.8 billed units per patient across 605 individuals) centers on 99214 (483 annual units) and 99213 ($143–$195 cash range).

Cash-pay intake data for NPI 1295078558 (175 W 12th St Apt 4d, New York) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 11-minute average reception wait and 4.47/5 biomarker openness.

From 175 W 12th St Apt 4d in New York (+1-207-555-4736), Dr. Sproles, DO (25-year clinical track record) delivers 18 Active CMS HCPCS Codes care.

New York Percentile 68.66th

Compared against New York, NY Emergency Medicine peers

NY State Percentile 70.52th

1,073 annual services across 605 beneficiaries

Regional Volume Z-Score -0.099σ

Standard deviations from NY 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 483 68.66th $186 – $255
99213 Established Preventive & Chronic Care Visit 279 63.66th $143 – $195
93000 In-Office 12-Lead Resting Electrocardiogram 139 63.66th $68 – $93
G0439 Annual Preventive Wellness & Cardiometabolic Risk Assessment 107 67.66th $219 – $300
99204 Comprehensive New Patient Internal Medicine Diagnostic Visit 64 69.66th $259 – $355
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Dr. Lon Sproles, DO Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Sproles National Provider Identifier NPI #1295078558 (DO) CMS NPPES Registry (10011)
Dr. Sproles New York CMS Volume Rank 68.66th Pct (1,073 CMS svcs; Z -0.099σ) CMS Medicare Part B (NY Emergency Medicine)
Fair Cash-Pay New-Patient Benchmark $239.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (New York, NY)
Waiting-Room Wait Time & Cash Friendliness $239.00 avg paid • 11 min lobby wait 3 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.85/5 Listening • 4.47/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
11 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $239.00
Listens Without Rushing
4.85/5
Patient communication rating
Modern Protocol Openness
4.47/5
Preventive labs, GLP-1s & HRT
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