Dr. Adam O'brien, MD
2600 E Pflugerville Pkwy Ste 200, Pflugerville, TX 78660 • +1-352-555-9099
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Pflugerville Percentiles
NPI #1013283860 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across TX Orthopedic Surgery providers positions Dr. Adam O'brien, MD in Pflugerville at -0.49σ (50th city percentile / 26.17th state percentile, 262 Medicare beneficiaries), with clinical focus spanning 38 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1013283860 highlights 238 annual claims for 99213 (50th Pflugerville percentile; $103–$141 self-pay corridor) plus 178 encounters under 20610 and 125 under 73562.
Self-pay new patient consultations with Dr. O'brien (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 13-minute average reception wait, and a 4.65/5 modern protocol openness score across 15 patient logs.
Credentialed as an MD specialist with 10 years post-graduation experience since completing medical school at an LCME/COCA institution (2016), Dr. O'brien coordinates 38 Active CMS HCPCS Codes workups from 2600 E Pflugerville Pkwy Ste 200 (+1-352-555-9099).
Compared against Pflugerville, TX Orthopedic Surgery peers
1,340 annual services across 262 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 | 238 | 50th | $103 – $141 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 178 | 51th | $110 – $150 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 125 | 49th | $62 – $84 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 73 | 47th | $148 – $202 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 46 | 48th | $951 – $1303 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (38 HCPCS billing breadth) | 680 | 50th | $116 – $168 |
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Dr. Adam O'brien, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. O'brien National Provider Identifier | NPI #1013283860 (MD) | CMS NPPES Registry (78660) |
| Dr. O'brien Pflugerville CMS Volume Rank | 50.00th Pct (1,340 CMS svcs; Z -0.490σ) | CMS Medicare Part B (TX Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pflugerville, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.65/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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