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Orthopedic Surgery • Lehighton, PA 18235 • NPI #1174051254

Dr. Eric Pridgen, MD

575 S 9th St Ste 5, Lehighton, PA 18235 • +1-914-555-9524

Medical Education: Accredited U.S. Medical School (Class of 1995)

48 Active CMS HCPCS Codes
4.95/5
Waiting-Room Score
6 patient logs
$209.00
Fair Cash-Pay Benchmark

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

NPI #1174051254 • CBSA Regional • Orthopedic Surgery

Dr. Eric Pridgen DotMD Verification Badge

Statistical peer benchmarking across PA Orthopedic Surgery providers positions Dr. Eric Pridgen, MD in Lehighton at -0.36σ (50th city percentile / 47.44th state percentile, 232 Medicare beneficiaries), with clinical focus spanning 48 Active CMS HCPCS Codes.

Medicare Part B line-item claims for Dr. Eric Pridgen (18235) place 99213 at the top of the practice ledger (210 yearly units, 50th metro rank), rounded out by 20610 and 73562.

Uninsured and high-deductible cash patients visiting Dr. Eric Pridgen in Lehighton (18235) face an estimated $209.00 initial evaluation fee at 575 S 9th St Ste 5 (in-person clinic visits only; 20-minute average reception wait; bedside manner 4.70/5 from 6 verified reports).

Credentialed as an MD specialist with 31 years post-graduation experience since completing medical school at an LCME/COCA institution (1995), Dr. Pridgen coordinates 48 Active CMS HCPCS Codes workups from 575 S 9th St Ste 5 (+1-914-555-9524).

Lehighton Percentile 50.00th

Compared against Lehighton, PA Orthopedic Surgery peers

PA State Percentile 47.44th

2,699 annual services across 232 beneficiaries

Regional Volume Z-Score -0.363σ

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 210 50th $36 – $51
20610 Major Joint (Knee/Shoulder/Hip) Aspiration or Injection 157 53th $38 – $53
73562 Radiologic Weight-Bearing 3-View Knee Examination 111 53th $25 – $40
99203 New Patient Musculoskeletal Injury & Surgical Triage 64 50th $52 – $71
27447 Total Knee Arthroplasty Joint Reconstruction 41 55th $334 – $457
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (48 HCPCS billing breadth) 2,117 50th $45 – $65
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Dr. Eric Pridgen, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Pridgen National Provider Identifier NPI #1174051254 (MD) CMS NPPES Registry (18235)
Dr. Pridgen Lehighton CMS Volume Rank 50.00th Pct (2,699 CMS svcs; Z -0.363σ) CMS Medicare Part B (PA Orthopedic Surgery)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Lehighton, PA)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 20 min lobby wait 6 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.70/5 Listening • 4.81/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
20 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.70/5
Patient communication rating
Modern Protocol Openness
4.81/5
Preventive labs, GLP-1s & HRT
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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