Dr. Thomas Baumgarten, MD
11 Park Creek DR, Greenville, SC 29605 • +1-520-555-8147
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Greenville Percentiles
NPI #1962469684 • CBSA Regional • Orthopedic Surgery
Dr. Thomas Baumgarten, MD (NPI #1962469684) practices Orthopedic Surgery in Greenville, SC (29605) with sub-specialty concentration in 42 Active CMS HCPCS Codes, recording 11,852 annual CMS services across 445 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (87.1th Greenville percentile) (+0.21σ vs SC state mean, 81.82th statewide percentile).
Fee-schedule auditing of NPI 1962469684 highlights 516 annual claims for 99213 (87.1th Greenville percentile; $35–$50 self-pay corridor) plus 387 encounters under 20610 and 272 under 73562.
At 11 Park Creek DR (29605), Dr. Thomas Baumgarten, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.59/5 bedside rating).
Clinical background for Dr. Baumgarten (MD, NPI #1962469684) includes accredited doctoral training (1998, 28 yrs in practice) and dedicated on-site consultations at 11 Park Creek DR.
Compared against Greenville, SC Orthopedic Surgery peers
11,852 annual services across 445 beneficiaries
Standard deviations from SC 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 | 516 | 87.1th | $35 – $50 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 387 | 85.1th | $37 – $52 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 272 | 85.1th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 158 | 92.1th | $50 – $68 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 100 | 90.1th | $321 – $440 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (42 HCPCS billing breadth) | 10,418 | 87.1th | $45 – $65 |
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Dr. Thomas Baumgarten, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Baumgarten National Provider Identifier | NPI #1962469684 (MD) | CMS NPPES Registry (29605) |
| Dr. Baumgarten Greenville CMS Volume Rank | 87.10th Pct (11,852 CMS svcs; Z +0.211σ) | CMS Medicare Part B (SC Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Greenville, SC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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