Dr. Kevin Heaton, DO
2200 Bryant Williams Drive, Suite 1, Klamath Falls, OR 97601 • +1-951-555-2059
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Klamath Falls Percentiles
NPI #1467474569 • CBSA Regional • Orthopedic Surgery
Within the Klamath Falls, OR (CBSA local) Orthopedic Surgery cohort, Dr. Kevin Heaton, DO with sub-specialty concentration in 92 Active CMS HCPCS Codes ranks at the 25th municipal percentile and 44.96th OR percentile (-0.33σ Z-score) based on 1,726 billed procedures for 365 patients.
Fee-schedule auditing of NPI 1467474569 highlights 378 annual claims for 99213 (25th Klamath Falls percentile; $147–$201 self-pay corridor) plus 283 encounters under 20610 and 199 under 73562.
Direct cash-pay transparency modeling sets Dr. Heaton's baseline new-consult rate near $209.00 in Klamath Falls, OR (cash-pay accepted, in-person clinic visits only, 18-minute average reception wait).
NPI registry verification (#1467474569) confirms Dr. Kevin Heaton's DO standing serving CBSA 97601 with a 4.89/5 patient scorecard.
Compared against Klamath Falls, OR Orthopedic Surgery peers
1,726 annual services across 365 beneficiaries
Standard deviations from OR 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 | 378 | 25th | $147 – $201 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 283 | 29th | $156 – $214 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 199 | 26th | $88 – $120 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 115 | 26th | $210 – $288 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 73 | 20th | $1354 – $1855 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (92 HCPCS billing breadth) | 677 | 25th | $165 – $239 |
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Dr. Kevin Heaton, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Heaton National Provider Identifier | NPI #1467474569 (DO) | CMS NPPES Registry (97601) |
| Dr. Heaton Klamath Falls CMS Volume Rank | 25.00th Pct (1,726 CMS svcs; Z -0.329σ) | CMS Medicare Part B (OR Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Klamath Falls, OR) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.62/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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