Dr. Sebastian Ksionski, MD
1330 Oak Ln, Lynchburg, VA 24503 • +1-423-555-6867
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Lynchburg Percentiles
NPI #1033120852 • CBSA Regional • Pain Management
Within the Lynchburg, VA (CBSA local) Pain Management cohort, Dr. Sebastian Ksionski, MD with sub-specialty concentration in 46 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 37.04th VA percentile (-0.56σ Z-score) based on 2,049 billed procedures for 246 patients.
Among 6 tracked CMS fee-schedule codes for Dr. Ksionski (averaging 8.3 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 31% of tracked volume (641 encounters), paired with 99213 (370x).
Self-pay new patient consultations with Dr. Ksionski (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 22-minute average reception wait, and a 4.86/5 modern protocol openness score across 4 patient logs.
Clinical background for Dr. Ksionski (MD, NPI #1033120852) includes accredited doctoral training (1996, 30 yrs in practice) and virtual + in-office availability across VA.
Compared against Lynchburg, VA Pain Management peers
2,049 annual services across 246 beneficiaries
Standard deviations from VA Pain Management mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 641 | 12th | $93 – $127 |
| 99213 | Established Preventive & Chronic Care Visit | 370 | 12th | $71 – $97 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 185 | 12th | $34 – $49 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 142 | 12th | $109 – $149 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 85 | 12th | $129 – $177 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (46 HCPCS billing breadth) | 625 | 0th | $84 – $122 |
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Dr. Sebastian Ksionski, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ksionski National Provider Identifier | NPI #1033120852 (MD) | CMS NPPES Registry (24503) |
| Dr. Ksionski Lynchburg CMS Volume Rank | 0.00th Pct (2,049 CMS svcs; Z -0.559σ) | CMS Medicare Part B (VA Pain Management) |
| 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 • 22 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.88/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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