Dr. James Carson, MD
170 N Pointe Blvd, Lancaster, PA 17601 • +1-444-555-9380
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Lancaster Percentiles
NPI #1518927672 • CBSA Regional • Orthopedic Surgery
Operating out of Lancaster, PA (170 N Pointe Blvd), Orthopedic Surgery clinician Dr. James Carson, MD (accredited MD/DO training, 2006) maintains a upper-quartile active clinical volume (83.78th Lancaster percentile) (74.4th PA percentile; Z-score +0.13σ across 5,910 documented services) with sub-specialty concentration in 83 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Carson (averaging 12.4 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 7% of tracked volume (440 encounters), paired with 20610 (330x).
Cash-pay intake data for NPI 1518927672 (170 N Pointe Blvd, Lancaster) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 15-minute average reception wait and 4.87/5 biomarker openness.
Patients evaluating Dr. James Carson in ZIP 17601 note 20 years of post-doctoral tenure (null, 2006) alongside 12.4 annual CMS procedures per patient.
Compared against Lancaster, PA Orthopedic Surgery peers
5,910 annual services across 475 beneficiaries
Standard deviations from PA 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 | 440 | 83.78th | $35 – $50 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 330 | 88.78th | $37 – $52 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 232 | 79.78th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 134 | 86.78th | $50 – $68 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 86 | 87.78th | $321 – $440 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (83 HCPCS billing breadth) | 4,688 | 83.78th | $45 – $65 |
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Dr. James Carson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Carson National Provider Identifier | NPI #1518927672 (MD) | CMS NPPES Registry (17601) |
| Dr. Carson Lancaster CMS Volume Rank | 83.78th Pct (5,910 CMS svcs; Z +0.128σ) | CMS Medicare Part B (PA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lancaster, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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