Dr. Matthew Paine, MD
7001 Forest Ave Ste 302, Richmond, VA 23230 • +1-510-555-8432
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Richmond Percentiles
NPI #1154617397 • CBSA Regional • Family Practice
Within the Richmond, VA (CBSA local) Family Practice cohort, Dr. Matthew Paine, MD with sub-specialty concentration in 49 Active CMS HCPCS Codes ranks at the 28.95th municipal percentile and 24.78th VA percentile (-0.15σ Z-score) based on 1,013 billed procedures for 446 patients.
Fee-schedule auditing of NPI 1154617397 highlights 425 annual claims for 99214 (28.95th Richmond percentile; $139–$191 self-pay corridor) plus 314 encounters under 99213 and 122 under G0439.
Uninsured and high-deductible cash patients visiting Dr. Matthew Paine in Richmond (23230) face an estimated $209.00 initial evaluation fee at 7001 Forest Ave Ste 302 (in-person clinic visits only; 13-minute average reception wait; bedside manner 4.67/5 from 9 verified reports).
NPI registry verification (#1154617397) confirms Dr. Matthew Paine's MD standing serving CBSA 23230 with a 4.90/5 patient scorecard.
Compared against Richmond, VA Family Practice peers
1,013 annual services across 446 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 | 425 | 28.95th | $139 – $191 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 314 | 25.95th | $107 – $146 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 122 | 24.95th | $160 – $219 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 91 | 24.95th | $30 – $45 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 61 | 23.95th | $192 – $263 |
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Dr. Matthew Paine, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Paine National Provider Identifier | NPI #1154617397 (MD) | CMS NPPES Registry (23230) |
| Dr. Paine Richmond CMS Volume Rank | 28.95th Pct (1,013 CMS svcs; Z -0.149σ) | CMS Medicare Part B (VA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Richmond, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.76/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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