Dr. Ethan Burns, MD
6445 Main St Fl 24, Houston, TX 77030 • +1-670-555-6961
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Houston Percentiles
NPI #1962933705 • CBSA 26420 • Hematology-Oncology
Operating out of Houston, TX (6445 Main St Fl 24), Hematology-Oncology clinician Dr. Ethan Burns, MD (accredited MD/DO training, 2012) maintains a mid-cohort balanced caseload (39.06th Houston percentile) (11.28th TX percentile; Z-score -0.95σ across 963 documented services) with sub-specialty concentration in 23 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1962933705 highlights 433 annual claims for 99214 (39.06th Houston percentile; $182–$250 self-pay corridor) plus 250 encounters under 99213 and 125 under 93000.
For out-of-network patients contacting +1-670-555-6961, Dr. Burns's practice posts a $212.00 GPCI self-pay consult estimate ($212.00 patient-logged median, 4.88/5 composite reality score over 23 submissions).
Clinical background for Dr. Burns (MD, NPI #1962933705) includes accredited doctoral training (2012, 14 yrs in practice) and virtual + in-office availability across TX.
Compared against Houston, TX Hematology-Oncology peers
963 annual services across 267 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 | 433 | 39.06th | $182 – $250 |
| 99213 | Established Preventive & Chronic Care Visit | 250 | 35.06th | $139 – $191 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 125 | 44.06th | $67 – $91 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 96 | 41.06th | $214 – $293 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 58 | 44.06th | $253 – $347 |
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Dr. Ethan Burns, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Burns National Provider Identifier | NPI #1962933705 (MD) | CMS NPPES Registry (77030) |
| Dr. Burns Houston CMS Volume Rank | 39.06th Pct (963 CMS svcs; Z -0.946σ) | CMS Medicare Part B (TX Hematology-Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $212.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Houston, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $212.00 avg paid • 21 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.63/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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