Dr. Robert Girling, MD
21 Spurs Ln Ste 300, San Antonio, TX 78240 • +1-407-555-4905
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & San Antonio Percentiles
NPI #1356661904 • CBSA Regional • Orthopedic Surgery
Dr. Robert Girling, MD (NPI #1356661904) practices Orthopedic Surgery in San Antonio, TX (78240) with sub-specialty concentration in 80 Active CMS HCPCS Codes, recording 2,166 annual CMS services across 460 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (48.1th San Antonio percentile) (-0.37σ vs TX state mean, 45.61th statewide percentile).
Procedural volume for Dr. Girling is led by HCPCS 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation — 562 annual services, $214–$294 GPCI cash estimate), followed by CPT 20610 (Major Joint (Knee/Shoulder/Hip) Aspiration or Injection, 421/yr) and CPT 73562 (Radiologic Weight-Bearing 3-View Knee Examination, 296/yr).
Uninsured and high-deductible cash patients visiting Dr. Robert Girling in San Antonio (78240) face an estimated $209.00 initial evaluation fee at 21 Spurs Ln Ste 300 (in-person clinic visits only; 21-minute average reception wait; bedside manner 4.88/5 from 3 verified reports).
Clinical background for Dr. Girling (MD, NPI #1356661904) includes accredited doctoral training (1995, 31 yrs in practice) and dedicated on-site consultations at 21 Spurs Ln Ste 300.
Compared against San Antonio, TX Orthopedic Surgery peers
2,166 annual services across 460 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 | 562 | 48.1th | $214 – $294 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 421 | 47.1th | $228 – $313 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 296 | 52.1th | $128 – $176 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 172 | 44.1th | $307 – $421 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 109 | 43.1th | $1979 – $2712 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (80 HCPCS billing breadth) | 606 | 48.1th | $241 – $349 |
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Dr. Robert Girling, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Girling National Provider Identifier | NPI #1356661904 (MD) | CMS NPPES Registry (78240) |
| Dr. Girling San Antonio CMS Volume Rank | 48.10th Pct (2,166 CMS svcs; Z -0.369σ) | CMS Medicare Part B (TX Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (San Antonio, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.88/5 Listening • 4.60/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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