Dr. Spencer Payne, MD
415 Ray C. Hunt Drive, Suite 1200, Charlottesville, VA 22903 • +1-325-555-4372
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Charlottesville Percentiles
NPI #1679564777 • CBSA Regional • Otolaryngology
CMS Medicare Part B utilization records credit Dr. Spencer Payne (MD, NPI 1679564777) at 415 Ray C. Hunt Drive, Suite 1200 in Charlottesville with 936 annual clinical services (280 beneficiaries), corresponding to a -0.47σ regional deviation and focused low-volume boutique caseload (33.33th Charlottesville percentile) with sub-specialty concentration in 39 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1679564777 highlights 318 annual claims for 99213 (33.33th Charlottesville percentile; $153–$209 self-pay corridor) plus 234 encounters under 31231 and 178 under 31575.
Direct cash-pay transparency modeling sets Dr. Payne's baseline new-consult rate near $209.00 in Charlottesville, VA (cash-pay accepted, in-person clinic visits only, 13-minute average reception wait).
Credentialed as an MD specialist with 13 years post-graduation experience since completing medical school at an LCME/COCA institution (2013), Dr. Payne coordinates 39 Active CMS HCPCS Codes workups from 415 Ray C. Hunt Drive, Suite 1200 (+1-325-555-4372).
Compared against Charlottesville, VA Otolaryngology peers
936 annual services across 280 beneficiaries
Standard deviations from VA Otolaryngology 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 Ear, Nose, Sinus & Throat Examination | 318 | 33.33th | $153 – $209 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 234 | 31.33th | $307 – $421 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 178 | 34.33th | $224 – $307 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 122 | 28.33th | $108 – $148 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 84 | 29.33th | $96 – $132 |
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Dr. Spencer Payne, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Payne National Provider Identifier | NPI #1679564777 (MD) | CMS NPPES Registry (22903) |
| Dr. Payne Charlottesville CMS Volume Rank | 33.33th Pct (936 CMS svcs; Z -0.472σ) | CMS Medicare Part B (VA Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Charlottesville, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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