Dr. Matthew Hepinstall, MD
130 E 77th St Fl 11, Park Lenox Orthopaedics, Pc, New York, NY 10075 • +1-698-555-6943
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & New York Percentiles
NPI #1164686002 • CBSA 35620 • Orthopedic Surgery
Dr. Matthew Hepinstall, MD (NPI #1164686002) practices Orthopedic Surgery in New York, NY (10075) with sub-specialty concentration in 45 Active CMS HCPCS Codes, recording 3,137 annual CMS services across 650 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (74.53th New York percentile) (-0.22σ vs NY state mean, 61.27th statewide percentile).
Granular CPT/HCPCS billing distribution at 130 E 77th St Fl 11, Park Lenox Orthopaedics, Pc shows Dr. Matthew Hepinstall's primary concentration in Focused Orthopedic Joint & Spine Mobility Evaluation (code 99213: 561x/yr, 74.53th local percentile) alongside Major Joint (Knee/Shoulder/Hip) Aspiration or Injection (20610: 421x/yr, $248–$339).
Self-pay new patient consultations with Dr. Hepinstall (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 12-minute average reception wait, and a 4.45/5 modern protocol openness score across 14 patient logs.
NPI registry verification (#1164686002) confirms Dr. Matthew Hepinstall's MD standing serving CBSA 35620 with a 4.63/5 patient scorecard.
Compared against New York, NY Orthopedic Surgery peers
3,137 annual services across 650 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 | 561 | 74.53th | $232 – $318 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 421 | 77.53th | $248 – $339 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 296 | 74.53th | $139 – $190 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 171 | 75.53th | $333 – $457 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 109 | 79.53th | $2147 – $2942 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (45 HCPCS billing breadth) | 1,578 | 74.53th | $262 – $380 |
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Dr. Matthew Hepinstall, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Hepinstall National Provider Identifier | NPI #1164686002 (MD) | CMS NPPES Registry (10075) |
| Dr. Hepinstall New York CMS Volume Rank | 74.53th Pct (3,137 CMS svcs; Z -0.219σ) | CMS Medicare Part B (NY Orthopedic Surgery) |
| 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 • 12 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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