Dr. Ken Moles, MD
9409 B Old Burke Lake Rd, Burke, VA 22015 • +1-493-555-7191
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Burke Percentiles
NPI #1396716379 • CBSA Regional • Family Practice
Operating out of Burke, VA (9409 B Old Burke Lake Rd), Family Practice clinician Dr. Ken Moles, MD (accredited MD/DO training, 1998) maintains a mid-cohort balanced caseload (50th Burke percentile) (50.68th VA percentile; Z-score -0.10σ across 1,677 documented services) with sub-specialty concentration in 27 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1396716379 highlights 678 annual claims for 99214 (50th Burke percentile; $125–$172 self-pay corridor) plus 501 encounters under 99213 and 194 under G0439.
Self-pay new patient consultations with Dr. Moles (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 21-minute average reception wait, and a 4.68/5 modern protocol openness score across 21 patient logs.
Patients evaluating Dr. Ken Moles in ZIP 22015 note 28 years of post-doctoral tenure (null, 1998) alongside 4.1 annual CMS procedures per patient.
Compared against Burke, VA Family Practice peers
1,677 annual services across 405 beneficiaries
Standard deviations from VA 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 | 678 | 50th | $125 – $172 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 501 | 52th | $96 – $132 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 194 | 51th | $144 – $197 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 145 | 54th | $27 – $42 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 97 | 51th | $172 – $236 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (27 HCPCS billing breadth) | 62 | 50th | $113 – $164 |
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Dr. Ken Moles, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Moles National Provider Identifier | NPI #1396716379 (MD) | CMS NPPES Registry (22015) |
| Dr. Moles Burke CMS Volume Rank | 50.00th Pct (1,677 CMS svcs; Z -0.101σ) | CMS Medicare Part B (VA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Burke, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.68/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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