Dr. Carlton Cauthen, MD
3016 Longtown Commons DR, Columbia, SC 29229 • +1-587-555-7021
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Columbia Percentiles
NPI #1346258746 • CBSA Regional • Pulmonary Disease
Statistical peer benchmarking across SC Pulmonary Disease providers positions Dr. Carlton Cauthen, MD in Columbia at +0.35σ (88.89th city percentile / 88.89th state percentile, 952 Medicare beneficiaries), with clinical focus spanning 28 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Cauthen (averaging 3.7 services per beneficiary), 99214 (Established Pulmonary, Asthma & COPD Management) represents 41% of tracked volume (1433 encounters), paired with 94060 (804x).
Direct cash-pay transparency modeling sets Dr. Cauthen's baseline new-consult rate near $209.00 in Columbia, SC (cash-pay accepted, in-person clinic visits only, 14-minute average reception wait).
Credentialed as an MD specialist with 10 years post-graduation experience since completing medical school at an LCME/COCA institution (2016), Dr. Cauthen coordinates 28 Active CMS HCPCS Codes workups from 3016 Longtown Commons DR (+1-587-555-7021).
Compared against Columbia, SC Pulmonary Disease peers
3,495 annual services across 952 beneficiaries
Standard deviations from SC Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 1,433 | 88.89th | $118 – $161 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 804 | 90.89th | $77 – $105 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 594 | 85.89th | $70 – $95 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 384 | 91.89th | $215 – $295 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 280 | 85.89th | $166 – $228 |
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Dr. Carlton Cauthen, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cauthen National Provider Identifier | NPI #1346258746 (MD) | CMS NPPES Registry (29229) |
| Dr. Cauthen Columbia CMS Volume Rank | 88.89th Pct (3,495 CMS svcs; Z +0.352σ) | CMS Medicare Part B (SC Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Columbia, SC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.82/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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