Dr. Matthew Sugalski, MD
1430 W Baddour Pkwy Ste A, Lebanon, TN 37087 • +1-831-555-4556
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Lebanon Percentiles
NPI #1487657169 • CBSA Regional • Orthopedic Surgery
Within the Lebanon, TN (CBSA local) Orthopedic Surgery cohort, Dr. Matthew Sugalski, MD with sub-specialty concentration in 53 Active CMS HCPCS Codes ranks at the 50th municipal percentile and 34.37th TN percentile (-0.44σ Z-score) based on 2,282 billed procedures for 103 patients.
Procedural volume for Dr. Sugalski is led by HCPCS 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation — 167 annual services, $36–$51 GPCI cash estimate), followed by CPT 20610 (Major Joint (Knee/Shoulder/Hip) Aspiration or Injection, 126/yr) and CPT 73562 (Radiologic Weight-Bearing 3-View Knee Examination, 88/yr).
For out-of-network patients contacting +1-831-555-4556, Dr. Sugalski's practice posts a $201.00 GPCI self-pay consult estimate ($201.00 patient-logged median, 4.78/5 composite reality score over 9 submissions).
NPI registry verification (#1487657169) confirms Dr. Matthew Sugalski's MD standing serving CBSA 37087 with a 4.78/5 patient scorecard.
Compared against Lebanon, TN Orthopedic Surgery peers
2,282 annual services across 103 beneficiaries
Standard deviations from TN 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 | 167 | 50th | $36 – $51 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 126 | 53th | $39 – $54 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 88 | 55th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 51 | 54th | $52 – $71 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 33 | 55th | $335 – $459 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (53 HCPCS billing breadth) | 1,817 | 50th | $45 – $65 |
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Dr. Matthew Sugalski, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sugalski National Provider Identifier | NPI #1487657169 (MD) | CMS NPPES Registry (37087) |
| Dr. Sugalski Lebanon CMS Volume Rank | 50.00th Pct (2,282 CMS svcs; Z -0.438σ) | CMS Medicare Part B (TN Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $201.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lebanon, TN) |
| Waiting-Room Wait Time & Cash Friendliness | $201.00 avg paid • 15 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.80/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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