Dr. Ralph Piening, MD
27 Gamecock Ave, Ste 201, Charleston, SC 29407 • +1-744-555-4871
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Charleston Percentiles
NPI #1306991666 • CBSA Regional • Internal Medicine
Operating out of Charleston, SC (27 Gamecock Ave, Ste 201), Internal Medicine clinician Dr. Ralph Piening, MD (accredited MD/DO training, 1998) maintains a focused low-volume boutique caseload (7.79th Charleston percentile) (9.04th SC percentile; Z-score -0.33σ across 721 documented services) with sub-specialty concentration in 5 Active CMS HCPCS Codes.
Dr. Piening's longitudinal care intensity (1.4 billed units per patient across 499 individuals) centers on 99214 (324 annual units) and 99213 ($190–$260 cash range).
At 27 Gamecock Ave, Ste 201 (29407), Dr. Ralph Piening, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.90/5 bedside rating).
Spanning 28 years of clinical practice following 1998 graduation from medical training, Dr. Ralph Piening integrates 5 Active CMS HCPCS Codes diagnostics for Charleston metro patients.
Compared against Charleston, SC Internal Medicine peers
721 annual services across 499 beneficiaries
Standard deviations from SC Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 324 | 12th | $248 – $340 |
| 99213 | Established Preventive & Chronic Care Visit | 187 | 12th | $190 – $260 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 94 | 12th | $91 – $124 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 72 | 12th | $291 – $399 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 43 | 12th | $345 – $473 |
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Dr. Ralph Piening, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Piening National Provider Identifier | NPI #1306991666 (MD) | CMS NPPES Registry (29407) |
| Dr. Piening Charleston CMS Volume Rank | 7.79th Pct (721 CMS svcs; Z -0.332σ) | CMS Medicare Part B (SC Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Charleston, SC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.63/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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