Dr. Loren Carroll, MD
346 Shadow Ridge DR, Jackson, TN 38305 • +1-469-555-6556
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Jackson Percentiles
NPI #1104168178 • CBSA Regional • Family Practice
Within the Jackson, TN (CBSA local) Family Practice cohort, Dr. Loren Carroll, MD with sub-specialty concentration in 33 Active CMS HCPCS Codes ranks at the 39.13th municipal percentile and 36.82th TN percentile (-0.42σ Z-score) based on 1,592 billed procedures for 508 patients.
Fee-schedule auditing of NPI 1104168178 highlights 669 annual claims for 99214 (39.13th Jackson percentile; $81–$111 self-pay corridor) plus 494 encounters under 99213 and 191 under G0439.
Self-pay new patient consultations with Dr. Carroll (CPT 99204 GPCI-adjusted benchmark) estimate around $201.00 (community reported average: $201.00) with hybrid in-clinic and telehealth video consults, 14-minute average reception wait, and a 4.82/5 modern protocol openness score across 26 patient logs.
Clinical background for Dr. Carroll (MD, NPI #1104168178) includes accredited doctoral training (2000, 26 yrs in practice) and virtual + in-office availability across TN.
Compared against Jackson, TN Family Practice peers
1,592 annual services across 508 beneficiaries
Standard deviations from TN Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 669 | 39.13th | $81 – $111 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 494 | 40.13th | $62 – $85 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 191 | 39.13th | $93 – $128 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 143 | 43.13th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 96 | 41.13th | $112 – $153 |
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Dr. Loren Carroll, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Carroll National Provider Identifier | NPI #1104168178 (MD) | CMS NPPES Registry (38305) |
| Dr. Carroll Jackson CMS Volume Rank | 39.13th Pct (1,592 CMS svcs; Z -0.425σ) | CMS Medicare Part B (TN Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $201.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Jackson, TN) |
| Waiting-Room Wait Time & Cash Friendliness | $201.00 avg paid • 14 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.82/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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