Dr. Paul Rath, MD
1327 Troup Hwy, Tyler, TX 75701 • +1-887-555-2928
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Tyler Percentiles
NPI #1992909576 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across TX Orthopedic Surgery providers positions Dr. Paul Rath, MD in Tyler at -0.58σ (4th city percentile / 3.27th state percentile, 303 Medicare beneficiaries), with clinical focus spanning 80 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1992909576 highlights 250 annual claims for 99213 (12th Tyler percentile; $197–$271 self-pay corridor) plus 187 encounters under 20610 and 132 under 73562.
Self-pay new patient consultations with Dr. Rath (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 18-minute average reception wait, and a 4.85/5 modern protocol openness score across 14 patient logs.
From 1327 Troup Hwy in Tyler (+1-887-555-2928), Dr. Rath, MD (29-year clinical track record) delivers 80 Active CMS HCPCS Codes care.
Compared against Tyler, TX Orthopedic Surgery peers
694 annual services across 303 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 | 250 | 12th | $197 – $271 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 187 | 12th | $210 – $288 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 132 | 12th | $118 – $162 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 76 | 12th | $283 – $388 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 49 | 12th | $1824 – $2500 |
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Dr. Paul Rath, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rath National Provider Identifier | NPI #1992909576 (MD) | CMS NPPES Registry (75701) |
| Dr. Rath Tyler CMS Volume Rank | 4.00th Pct (694 CMS svcs; Z -0.585σ) | CMS Medicare Part B (TX Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Tyler, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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