Dr. John Edwards, MD
22999 Highway 59 N Ste 400, Kingwood, TX 77339 • +1-645-555-1935
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Kingwood Percentiles
NPI #1336158294 • CBSA Regional • Otolaryngology
CMS Medicare Part B utilization records credit Dr. John Edwards (MD, NPI 1336158294) at 22999 Highway 59 N Ste 400 in Kingwood with 1,079 annual clinical services (434 beneficiaries), corresponding to a -0.47σ regional deviation and focused low-volume boutique caseload (33.33th Kingwood percentile) with sub-specialty concentration in 50 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1336158294 highlights 367 annual claims for 99213 (33.33th Kingwood percentile; $141–$194 self-pay corridor) plus 270 encounters under 31231 and 205 under 31575.
Direct cash-pay transparency modeling sets Dr. Edwards's baseline new-consult rate near $209.00 in Kingwood, TX (cash-pay accepted, in-person clinic visits only, 20-minute average reception wait).
Clinical background for Dr. Edwards (MD, NPI #1336158294) includes accredited doctoral training (2013, 13 yrs in practice) and dedicated on-site consultations at 22999 Highway 59 N Ste 400.
Compared against Kingwood, TX Otolaryngology peers
1,079 annual services across 434 beneficiaries
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 | 367 | 33.33th | $141 – $194 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 270 | 32.33th | $285 – $390 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 205 | 29.33th | $208 – $285 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 140 | 33.33th | $100 – $137 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 97 | 38.33th | $89 – $122 |
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Dr. John Edwards, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Edwards National Provider Identifier | NPI #1336158294 (MD) | CMS NPPES Registry (77339) |
| Dr. Edwards Kingwood CMS Volume Rank | 33.33th Pct (1,079 CMS svcs; Z -0.469σ) | CMS Medicare Part B (TX Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Kingwood, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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