Dr. Paul Nielson, MD
105 Bona Vista Ln, Galax, VA 24333 • +1-558-555-9080
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Galax Percentiles
NPI #1114039070 • CBSA Regional • Family Practice
Operating out of Galax, VA (105 Bona Vista Ln), Family Practice clinician Dr. Paul Nielson, MD (accredited MD/DO training, 1994) maintains a top-decile high-throughput specialist (99th percentile in Galax) (14.15th VA percentile; Z-score -0.16σ across 845 documented services) with sub-specialty concentration in 31 Active CMS HCPCS Codes.
Procedural volume for Dr. Nielson is led by HCPCS 99214 (Comprehensive Primary Care & Chronic Protocol Management — 201 annual services, $652–$894 GPCI cash estimate), followed by CPT 99213 (Focused Acute & Preventive Primary Care Evaluation, 148/yr) and CPT G0439 (Annual Wellness Biomarker & Preventive Screening Visit, 57/yr).
Direct cash-pay transparency modeling sets Dr. Nielson's baseline new-consult rate near $209.00 in Galax, VA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 12-minute average reception wait).
Spanning 32 years of clinical practice following 1994 graduation from medical training, Dr. Paul Nielson integrates 31 Active CMS HCPCS Codes diagnostics for Galax metro patients.
Top 10% Family Practice volume leader in Galax, VA
845 annual services across 49 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 | 201 | 99th | $652 – $894 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 148 | 99.5th | $499 – $684 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 57 | 99.5th | $748 – $1026 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 43 | 99th | $142 – $194 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 29 | 97th | $896 – $1228 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (31 HCPCS billing breadth) | 367 | 99th | $588 – $853 |
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Dr. Paul Nielson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nielson National Provider Identifier | NPI #1114039070 (MD) | CMS NPPES Registry (24333) |
| Dr. Nielson Galax CMS Volume Rank | 99.00th Pct (845 CMS svcs; Z -0.162σ) | CMS Medicare Part B (VA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Galax, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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