Dr. Thomas Edwards, MD
7401 South Main St, Houston, TX 77030 • +1-670-555-2156
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Houston Percentiles
NPI #1528056033 • CBSA 26420 • Orthopedic Surgery
Anchored in Houston, TX 77030, Dr. Thomas Edwards, MD (NPI 1528056033) logged 6,859 annual procedures (upper-quartile active clinical volume (84.3th Houston percentile), 82.62th TX percentile, +0.32σ) with sub-specialty concentration in 45 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1528056033 highlights 701 annual claims for 99213 (84.3th Houston percentile; $55–$76 self-pay corridor) plus 526 encounters under 20610 and 370 under 73562.
For out-of-network patients contacting +1-670-555-2156, Dr. Edwards's practice posts a $212.00 GPCI self-pay consult estimate ($212.00 patient-logged median, 4.79/5 composite reality score over 22 submissions).
Credentialed as an MD specialist with 33 years post-graduation experience since completing medical school at an LCME/COCA institution (1993), Dr. Edwards coordinates 45 Active CMS HCPCS Codes workups from 7401 South Main St (+1-670-555-2156).
Compared against Houston, TX Orthopedic Surgery peers
6,859 annual services across 491 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 | 701 | 84.3th | $55 – $76 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 526 | 82.3th | $59 – $81 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 370 | 79.3th | $33 – $48 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 214 | 81.3th | $80 – $109 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 136 | 86.3th | $512 – $702 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (45 HCPCS billing breadth) | 4,912 | 84.3th | $62 – $90 |
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Dr. Thomas Edwards, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Edwards National Provider Identifier | NPI #1528056033 (MD) | CMS NPPES Registry (77030) |
| Dr. Edwards Houston CMS Volume Rank | 84.30th Pct (6,859 CMS svcs; Z +0.322σ) | CMS Medicare Part B (TX Orthopedic Surgery) |
| 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 • 14 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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