Dr. Matthew Kergosien, MD
3460 N Dowlen Rd, Beaumont, TX 77706 • +1-311-555-9002
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Beaumont Percentiles
NPI #1801070842 • CBSA Regional • Orthopedic Surgery
Operating out of Beaumont, TX (3460 N Dowlen Rd), Orthopedic Surgery clinician Dr. Matthew Kergosien, MD (accredited MD/DO training, 1993) maintains a mid-cohort balanced caseload (46.15th Beaumont percentile) (30.37th TX percentile; Z-score -0.47σ across 1,511 documented services) with sub-specialty concentration in 68 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1801070842 highlights 544 annual claims for 99213 (46.15th Beaumont percentile; $101–$139 self-pay corridor) plus 408 encounters under 20610 and 287 under 73562.
Direct cash-pay transparency modeling sets Dr. Kergosien's baseline new-consult rate near $209.00 in Beaumont, TX (cash-pay accepted, hybrid in-clinic and telehealth video consults, 11-minute average reception wait).
Credentialed as an MD specialist with 33 years post-graduation experience since completing medical school at an LCME/COCA institution (1993), Dr. Kergosien coordinates 68 Active CMS HCPCS Codes workups from 3460 N Dowlen Rd (+1-311-555-9002).
Compared against Beaumont, TX Orthopedic Surgery peers
1,511 annual services across 390 beneficiaries
Standard deviations from TX 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 | 544 | 46.15th | $101 – $139 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 408 | 49.15th | $108 – $148 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 287 | 43.15th | $61 – $83 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 166 | 45.15th | $145 – $199 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 106 | 44.15th | $935 – $1282 |
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Dr. Matthew Kergosien, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kergosien National Provider Identifier | NPI #1801070842 (MD) | CMS NPPES Registry (77706) |
| Dr. Kergosien Beaumont CMS Volume Rank | 46.15th Pct (1,511 CMS svcs; Z -0.465σ) | CMS Medicare Part B (TX Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Beaumont, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.58/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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