Dr. Ralph Layman, MD
7611 Forest Avenue, Suite 300, Richmond, VA 23229 • +1-815-555-5197
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Richmond Percentiles
NPI #1437249992 • CBSA Regional • General Surgery
Anchored in Richmond, VA 23229, Dr. Ralph Layman, MD (NPI 1437249992) logged 1,615 annual procedures (upper-quartile active clinical volume (66.67th Richmond percentile), 80.23th VA percentile, +0.48σ) with sub-specialty concentration in 153 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Ralph Layman (23229) place 99214 at the top of the practice ledger (727 yearly units, 66.67th metro rank), rounded out by 99213 and 93000.
Cash-pay intake data for NPI 1437249992 (7611 Forest Avenue, Suite 300, Richmond) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 17-minute average reception wait and 4.84/5 biomarker openness.
From 7611 Forest Avenue, Suite 300 in Richmond (+1-815-555-5197), Dr. Layman, MD (25-year clinical track record) delivers 153 Active CMS HCPCS Codes care.
Compared against Richmond, VA General Surgery peers
1,615 annual services across 668 beneficiaries
Standard deviations from VA General Surgery 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 | 727 | 66.67th | $281 – $385 |
| 99213 | Established Preventive & Chronic Care Visit | 420 | 61.67th | $215 – $295 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 210 | 68.67th | $103 – $141 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 162 | 70.67th | $330 – $452 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 97 | 65.67th | $391 – $536 |
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Dr. Ralph Layman, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Layman National Provider Identifier | NPI #1437249992 (MD) | CMS NPPES Registry (23229) |
| Dr. Layman Richmond CMS Volume Rank | 66.67th Pct (1,615 CMS svcs; Z +0.476σ) | CMS Medicare Part B (VA General Surgery) |
| 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 • 17 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.85/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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