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Otolaryngology • Cleburne, TX 76033 • NPI #1295786135 TOP 10% CLEBURNE CMS VOLUME

Dr. Theodore Benke, MD

1317 Glenwood DR, Cleburne, TX 76033 • +1-749-555-2803

Medical Education: Accredited U.S. Medical School (Class of 2011)

26 Active CMS HCPCS Codes
4.77/5
Waiting-Room Score
4 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Cleburne Percentiles

NPI #1295786135 • CBSA Regional • Otolaryngology

Dr. Theodore Benke DotMD Verification Badge

Statistical peer benchmarking across TX Otolaryngology providers positions Dr. Theodore Benke, MD in Cleburne at -0.45σ (99th city percentile / 31.87th state percentile, 412 Medicare beneficiaries), with clinical focus spanning 26 Active CMS HCPCS Codes.

Among 5 tracked CMS fee-schedule codes for Dr. Benke (averaging 2.8 services per beneficiary), 99213 (Focused Ear, Nose, Sinus & Throat Examination) represents 34% of tracked volume (390 encounters), paired with 31231 (287x).

Cash-pay intake data for NPI 1295786135 (1317 Glenwood DR, Cleburne) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 20-minute average reception wait and 4.43/5 biomarker openness.

Credentialed as an MD specialist with 15 years post-graduation experience since completing medical school at an LCME/COCA institution (2011), Dr. Benke coordinates 26 Active CMS HCPCS Codes workups from 1317 Glenwood DR (+1-749-555-2803).

Cleburne Percentile 99.00th

Top 10% Otolaryngology volume leader in Cleburne, TX

TX State Percentile 31.87th

1,146 annual services across 412 beneficiaries

Regional Volume Z-Score -0.450σ

Standard deviations from TX Otolaryngology 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 Ear, Nose, Sinus & Throat Examination 390 99th $111 – $152
31231 Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy 287 97th $223 – $306
31575 Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection 218 96th $163 – $223
92557 Comprehensive Pure-Tone Audiometry & Speech Recognition 149 99th $79 – $108
69210 Instrumented Impacted Cerumen Removal Under Microscopy 103 99.5th $70 – $96
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Dr. Theodore Benke, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Benke National Provider Identifier NPI #1295786135 (MD) CMS NPPES Registry (76033)
Dr. Benke Cleburne CMS Volume Rank 99.00th Pct (1,146 CMS svcs; Z -0.450σ) CMS Medicare Part B (TX Otolaryngology)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Cleburne, TX)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 20 min lobby wait 4 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.58/5 Listening • 4.43/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
20 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.58/5
Patient communication rating
Modern Protocol Openness
4.43/5
Preventive labs, GLP-1s & HRT
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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