Dr. James Ralston, MD
5801 Virginia Pkwy, Suite 102, Mckinney, TX 75071 • +1-875-555-8336
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Mckinney Percentiles
NPI #1265566004 • CBSA Regional • Dermatology
Statistical peer benchmarking across TX Dermatology providers positions Dr. James Ralston, MD in Mckinney at +0.84σ (87.5th city percentile / 88.71th state percentile, 678 Medicare beneficiaries), with clinical focus spanning 76 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 5801 Virginia Pkwy, Suite 102 shows Dr. James Ralston's primary concentration in Cryotherapy Destruction of Premalignant Actinic Lesion (code 17000: 3310x/yr, 87.5th local percentile) alongside Focused Cutaneous & Dermoscopic Examination (99213: 3018x/yr, $75–$103).
Direct cash-pay transparency modeling sets Dr. Ralston's baseline new-consult rate near $209.00 in Mckinney, TX (cash-pay accepted, in-person clinic visits only, 10-minute average reception wait).
Clinical background for Dr. Ralston (MD, NPI #1265566004) includes accredited doctoral training (2001, 25 yrs in practice) and dedicated on-site consultations at 5801 Virginia Pkwy, Suite 102.
Compared against Mckinney, TX Dermatology peers
9,735 annual services across 678 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 | 3,310 | 87.5th | $67 – $92 |
| 99213 | Focused Cutaneous & Dermoscopic Examination | 3,018 | 90.5th | $75 – $103 |
| 11102 | Tangential Diagnostic Skin Biopsy of Single Lesion | 1,850 | 92.5th | $99 – $135 |
| 11401 | Excision of Benign Cutaneous Lesion (0.6 to 1.0 cm) | 974 | 91.5th | $138 – $189 |
| 99203 | New Patient Full-Body Skin Cancer & Dermatology Evaluation | 584 | 82.5th | $106 – $146 |
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Dr. James Ralston, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ralston National Provider Identifier | NPI #1265566004 (MD) | CMS NPPES Registry (75071) |
| Dr. Ralston Mckinney CMS Volume Rank | 87.50th Pct (9,735 CMS svcs; Z +0.836σ) | CMS Medicare Part B (TX Dermatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mckinney, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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