Dr. Richard Buch, MD
4333 N Josey Ln Ste 100b, Carrollton, TX 75010 • +1-894-555-5417
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Carrollton Percentiles
NPI #1871596957 • CBSA Regional • Orthopedic Surgery
Dr. Richard Buch, MD (NPI #1871596957) practices Orthopedic Surgery in Carrollton, TX (75010) with sub-specialty concentration in 118 Active CMS HCPCS Codes, recording 1,874 annual CMS services across 156 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (28.57th Carrollton percentile) (-0.41σ vs TX state mean, 39.44th statewide percentile).
Fee-schedule auditing of NPI 1871596957 highlights 311 annual claims for 99213 (28.57th Carrollton percentile; $282–$386 self-pay corridor) plus 234 encounters under 20610 and 164 under 73562.
Cash-pay intake data for NPI 1871596957 (4333 N Josey Ln Ste 100b, Carrollton) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 12-minute average reception wait and 4.84/5 biomarker openness.
Credentialed as an MD specialist with 33 years post-graduation experience since completing medical school at an LCME/COCA institution (1993), Dr. Buch coordinates 118 Active CMS HCPCS Codes workups from 4333 N Josey Ln Ste 100b (+1-894-555-5417).
Compared against Carrollton, TX Orthopedic Surgery peers
1,874 annual services across 156 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 | 311 | 28.57th | $282 – $386 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 234 | 32.57th | $300 – $411 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 164 | 32.57th | $168 – $231 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 95 | 33.57th | $404 – $554 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 61 | 25.57th | $2601 – $3564 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (118 HCPCS billing breadth) | 1,009 | 28.57th | $317 – $460 |
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Dr. Richard Buch, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Buch National Provider Identifier | NPI #1871596957 (MD) | CMS NPPES Registry (75010) |
| Dr. Buch Carrollton CMS Volume Rank | 28.57th Pct (1,874 CMS svcs; Z -0.411σ) | CMS Medicare Part B (TX Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Carrollton, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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