Dr. Peter Caprise, MD
2405 Atherholt Rd, Lynchburg, VA 24501 • +1-978-555-9010
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Lynchburg Percentiles
NPI #1154356236 • CBSA Regional • Orthopedic Surgery
Operating out of Lynchburg, VA (2405 Atherholt Rd), Orthopedic Surgery clinician Dr. Peter Caprise, MD (accredited MD/DO training, 2004) maintains a upper-quartile active clinical volume (80th Lynchburg percentile) (84.22th VA percentile; Z-score +0.55σ across 7,747 documented services) with sub-specialty concentration in 106 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1154356236 highlights 1236 annual claims for 99213 (80th Lynchburg percentile; $71–$97 self-pay corridor) plus 927 encounters under 20610 and 652 under 73562.
Uninsured and high-deductible cash patients visiting Dr. Peter Caprise in Lynchburg (24501) face an estimated $209.00 initial evaluation fee at 2405 Atherholt Rd (in-person clinic visits only; 18-minute average reception wait; bedside manner 4.71/5 from 18 verified reports).
NPI registry verification (#1154356236) confirms Dr. Peter Caprise's MD standing serving CBSA 24501 with a 4.83/5 patient scorecard.
Compared against Lynchburg, VA Orthopedic Surgery peers
7,747 annual services across 1,095 beneficiaries
Standard deviations from VA 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 | 1,236 | 80th | $71 – $97 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 927 | 78th | $75 – $103 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 652 | 77th | $42 – $58 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 378 | 82th | $102 – $139 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 240 | 83th | $654 – $897 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (106 HCPCS billing breadth) | 4,315 | 80th | $80 – $116 |
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Dr. Peter Caprise, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Caprise National Provider Identifier | NPI #1154356236 (MD) | CMS NPPES Registry (24501) |
| Dr. Caprise Lynchburg CMS Volume Rank | 80.00th Pct (7,747 CMS svcs; Z +0.545σ) | CMS Medicare Part B (VA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lynchburg, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.83/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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