Dr. Paul Carroll, MD
170 N Pointe Blvd, Lancaster, PA 17601 • +1-444-555-7972
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Lancaster Percentiles
NPI #1427018514 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across PA Orthopedic Surgery providers positions Dr. Paul Carroll, MD in Lancaster at -0.40σ (35.14th city percentile / 43.37th state percentile, 225 Medicare beneficiaries), with clinical focus spanning 71 Active CMS HCPCS Codes.
Procedural volume for Dr. Carroll is led by HCPCS 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation — 293 annual services, $49–$68 GPCI cash estimate), followed by CPT 20610 (Major Joint (Knee/Shoulder/Hip) Aspiration or Injection, 220/yr) and CPT 73562 (Radiologic Weight-Bearing 3-View Knee Examination, 155/yr).
Self-pay new patient consultations with Dr. Carroll (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 18-minute average reception wait, and a 4.43/5 modern protocol openness score across 10 patient logs.
Clinical background for Dr. Carroll (MD, NPI #1427018514) includes accredited doctoral training (2002, 24 yrs in practice) and virtual + in-office availability across PA.
Compared against Lancaster, PA Orthopedic Surgery peers
2,488 annual services across 225 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 | 293 | 35.14th | $49 – $68 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 220 | 32.14th | $53 – $72 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 155 | 39.14th | $29 – $44 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 90 | 33.14th | $71 – $97 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 57 | 35.14th | $456 – $624 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (71 HCPCS billing breadth) | 1,673 | 35.14th | $56 – $81 |
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Dr. Paul Carroll, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Carroll National Provider Identifier | NPI #1427018514 (MD) | CMS NPPES Registry (17601) |
| Dr. Carroll Lancaster CMS Volume Rank | 35.14th Pct (2,488 CMS svcs; Z -0.395σ) | 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 • 18 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.85/5 Listening • 4.43/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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