Dr. Rachael Earnest, MD
3140 Legacy DR Ste 110, Frisco, TX 75034 • +1-866-555-3541
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Frisco Percentiles
NPI #1306230537 • CBSA Regional • Dermatology
Within the Frisco, TX (CBSA local) Dermatology cohort, Dr. Rachael Earnest, MD with sub-specialty concentration in 39 Active CMS HCPCS Codes ranks at the 37.5th municipal percentile and 29.4th TX percentile (-0.50σ Z-score) based on 1,990 billed procedures for 544 patients.
Procedural volume for Dr. Earnest is led by HCPCS 17000 (Cryotherapy Destruction of Premalignant Actinic Lesion — 677 annual services, $88–$120 GPCI cash estimate), followed by CPT 99213 (Focused Cutaneous & Dermoscopic Examination, 617/yr) and CPT 11102 (Tangential Diagnostic Skin Biopsy of Single Lesion, 378/yr).
Self-pay new patient consultations with Dr. Earnest (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 13-minute average reception wait, and a 4.48/5 modern protocol openness score across 19 patient logs.
Spanning 9 years of clinical practice following 2017 graduation from medical training, Dr. Rachael Earnest integrates 39 Active CMS HCPCS Codes diagnostics for Frisco metro patients.
Compared against Frisco, TX Dermatology peers
1,990 annual services across 544 beneficiaries
Standard deviations from TX Dermatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 17000 | Cryotherapy Destruction of Premalignant Actinic Lesion | 677 | 37.5th | $88 – $120 |
| 99213 | Focused Cutaneous & Dermoscopic Examination | 617 | 34.5th | $98 – $134 |
| 11102 | Tangential Diagnostic Skin Biopsy of Single Lesion | 378 | 35.5th | $129 – $177 |
| 11401 | Excision of Benign Cutaneous Lesion (0.6 to 1.0 cm) | 199 | 34.5th | $181 – $248 |
| 99203 | New Patient Full-Body Skin Cancer & Dermatology Evaluation | 119 | 38.5th | $139 – $191 |
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Dr. Rachael Earnest, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Earnest National Provider Identifier | NPI #1306230537 (MD) | CMS NPPES Registry (75034) |
| Dr. Earnest Frisco CMS Volume Rank | 37.50th Pct (1,990 CMS svcs; Z -0.500σ) | CMS Medicare Part B (TX Dermatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Frisco, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.48/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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