Dr. Josh Kelfer, MD
2604 Saint Michael DR Ste 340, Texarkana, TX 75503 • +1-375-555-7763
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Texarkana Percentiles
NPI #1306340393 • CBSA Regional • Family Practice
Within the Texarkana, TX (CBSA local) Family Practice cohort, Dr. Josh Kelfer, MD with sub-specialty concentration in 9 Active CMS HCPCS Codes ranks at the 5th municipal percentile and 11.2th TX percentile (-0.37σ Z-score) based on 768 billed procedures for 250 patients.
Medicare Part B line-item claims for Dr. Josh Kelfer (75503) place 99214 at the top of the practice ledger (323 yearly units, 12th metro rank), rounded out by 99213 and G0439.
Uninsured and high-deductible cash patients visiting Dr. Josh Kelfer in Texarkana (75503) face an estimated $209.00 initial evaluation fee at 2604 Saint Michael DR Ste 340 (hybrid in-clinic and telehealth video consults; 11-minute average reception wait; bedside manner 4.62/5 from 13 verified reports).
Spanning 9 years of clinical practice following 2017 graduation from medical training, Dr. Josh Kelfer integrates 9 Active CMS HCPCS Codes diagnostics for Texarkana metro patients.
Compared against Texarkana, TX Family Practice peers
768 annual services across 250 beneficiaries
Standard deviations from TX Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 323 | 12th | $150 – $206 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 238 | 12th | $115 – $158 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 92 | 12th | $173 – $237 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 69 | 12th | $33 – $48 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 46 | 12th | $207 – $283 |
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Dr. Josh Kelfer, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kelfer National Provider Identifier | NPI #1306340393 (MD) | CMS NPPES Registry (75503) |
| Dr. Kelfer Texarkana CMS Volume Rank | 5.00th Pct (768 CMS svcs; Z -0.368σ) | CMS Medicare Part B (TX Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Texarkana, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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