Dr. Thomas Vrable, DO
132 N Market St, East Palestine, OH 44413 • +1-251-555-2451
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & East Palestine Percentiles
NPI #1174522064 • CBSA Regional • Family Practice
Within the East Palestine, OH (CBSA local) Family Practice cohort, Dr. Thomas Vrable, DO with sub-specialty concentration in 14 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 51.95th OH percentile (-0.18σ Z-score) based on 1,277 billed procedures for 163 patients.
Granular CPT/HCPCS billing distribution at 132 N Market St shows Dr. Thomas Vrable's primary concentration in Comprehensive Primary Care & Chronic Protocol Management (code 99214: 536x/yr, 12th local percentile) alongside Focused Acute & Preventive Primary Care Evaluation (99213: 396x/yr, $123–$168).
Direct cash-pay transparency modeling sets Dr. Vrable's baseline new-consult rate near $209.00 in East Palestine, OH (cash-pay accepted, hybrid in-clinic and telehealth video consults, 18-minute average reception wait).
Patients evaluating Dr. Thomas Vrable in ZIP 44413 note 32 years of post-doctoral tenure (null, 1994) alongside 7.8 annual CMS procedures per patient.
Compared against East Palestine, OH Family Practice peers
1,277 annual services across 163 beneficiaries
Standard deviations from OH Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 536 | 12th | $161 – $220 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 396 | 12th | $123 – $168 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 153 | 12th | $184 – $253 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 115 | 12th | $35 – $50 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 77 | 12th | $221 – $302 |
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Dr. Thomas Vrable, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Vrable National Provider Identifier | NPI #1174522064 (DO) | CMS NPPES Registry (44413) |
| Dr. Vrable East Palestine CMS Volume Rank | 0.00th Pct (1,277 CMS svcs; Z -0.185σ) | CMS Medicare Part B (OH Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (East Palestine, OH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.52/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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