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Orthopedic Surgery • Plainview, NY 11803 • NPI #1558596809

Dr. Santosh Mathen, MD

651 Old Country Rd, Plainview, NY 11803 • +1-641-555-3877

Medical Education: Accredited U.S. Medical School (Class of 1997)

108 Active CMS HCPCS Codes
4.62/5
Waiting-Room Score
5 patient logs
$232.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Plainview Percentiles

NPI #1558596809 • CBSA Regional • Orthopedic Surgery

Dr. Santosh Mathen DotMD Verification Badge

Dr. Santosh Mathen, MD (NPI #1558596809) practices Orthopedic Surgery in Plainview, NY (11803) with sub-specialty concentration in 108 Active CMS HCPCS Codes, recording 5,062 annual CMS services across 620 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (36.36th Plainview percentile) (-0.00σ vs NY state mean, 74.47th statewide percentile).

Granular CPT/HCPCS billing distribution at 651 Old Country Rd shows Dr. Santosh Mathen's primary concentration in Focused Orthopedic Joint & Spine Mobility Evaluation (code 99213: 975x/yr, 36.36th local percentile) alongside Major Joint (Knee/Shoulder/Hip) Aspiration or Injection (20610: 731x/yr, $116–$159).

Uninsured and high-deductible cash patients visiting Dr. Santosh Mathen in Plainview (11803) face an estimated $232.00 initial evaluation fee at 651 Old Country Rd (hybrid in-clinic and telehealth video consults; 19-minute average reception wait; bedside manner 4.70/5 from 5 verified reports).

Spanning 29 years of clinical practice following 1997 graduation from medical training, Dr. Santosh Mathen integrates 108 Active CMS HCPCS Codes diagnostics for Plainview metro patients.

Plainview Percentile 36.36th

Compared against Plainview, NY Orthopedic Surgery peers

NY State Percentile 74.47th

5,062 annual services across 620 beneficiaries

Regional Volume Z-Score -0.001σ

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 975 36.36th $109 – $149
20610 Major Joint (Knee/Shoulder/Hip) Aspiration or Injection 731 39.36th $116 – $159
73562 Radiologic Weight-Bearing 3-View Knee Examination 515 36.36th $65 – $89
99203 New Patient Musculoskeletal Injury & Surgical Triage 298 36.36th $156 – $214
27447 Total Knee Arthroplasty Joint Reconstruction 190 41.36th $1005 – $1377
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (108 HCPCS billing breadth) 2,353 36.36th $123 – $178
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Dr. Santosh Mathen, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Mathen National Provider Identifier NPI #1558596809 (MD) CMS NPPES Registry (11803)
Dr. Mathen Plainview CMS Volume Rank 36.36th Pct (5,062 CMS svcs; Z -0.001σ) CMS Medicare Part B (NY Orthopedic Surgery)
Fair Cash-Pay New-Patient Benchmark $232.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Plainview, NY)
Waiting-Room Wait Time & Cash Friendliness $232.00 avg paid • 19 min lobby wait 5 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.70/5 Listening • 4.78/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
19 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $232.00
Listens Without Rushing
4.70/5
Patient communication rating
Modern Protocol Openness
4.78/5
Preventive labs, GLP-1s & HRT
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