Dr. Thomas Richard, MD
3851 Roger Brooke Drive, Mche-Qd (Credentials), Fort Sam Houston, TX 78234 • +1-700-555-3232
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Fort Sam Houston Percentiles
NPI #1649255928 • CBSA Regional • Hematology-Oncology
Statistical peer benchmarking across TX Hematology-Oncology providers positions Dr. Thomas Richard, MD in Fort Sam Houston at -0.95σ (99th city percentile / 7.95th state percentile, 331 Medicare beneficiaries), with clinical focus spanning 14 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Thomas Richard (78234) place 99214 at the top of the practice ledger (374 yearly units, 99th metro rank), rounded out by 99213 and 93000.
Self-pay new patient consultations with Dr. Richard (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 9-minute average reception wait, and a 4.86/5 modern protocol openness score across 25 patient logs.
Clinical background for Dr. Richard (MD, NPI #1649255928) includes accredited doctoral training (2008, 18 yrs in practice) and virtual + in-office availability across TX.
Top 10% Hematology-Oncology volume leader in Fort Sam Houston, TX
832 annual services across 331 beneficiaries
Standard deviations from TX Hematology-Oncology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 374 | 99th | $135 – $186 |
| 99213 | Established Preventive & Chronic Care Visit | 216 | 99.5th | $104 – $142 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 108 | 94th | $49 – $68 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 83 | 97th | $159 – $218 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 50 | 96th | $188 – $258 |
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Dr. Thomas Richard, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Richard National Provider Identifier | NPI #1649255928 (MD) | CMS NPPES Registry (78234) |
| Dr. Richard Fort Sam Houston CMS Volume Rank | 99.00th Pct (832 CMS svcs; Z -0.948σ) | CMS Medicare Part B (TX Hematology-Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fort Sam Houston, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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