Dr. Nicole Langelier, MD
400 Westhampton Sta, Richmond, VA 23226 • +1-670-555-4968
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Richmond Percentiles
NPI #1689964488 • CBSA Regional • Ophthalmology
Operating out of Richmond, VA (400 Westhampton Sta), Ophthalmology clinician Dr. Nicole Langelier, MD (accredited MD/DO training, 2006) maintains a focused low-volume boutique caseload (21.21th Richmond percentile) (56.4th VA percentile; Z-score -0.35σ across 3,980 documented services) with sub-specialty concentration in 57 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1689964488 highlights 474 annual claims for 92014 (21.21th Richmond percentile; $122–$168 self-pay corridor) plus 333 encounters under 92134 and 218 under 92083.
Cash-pay intake data for NPI 1689964488 (400 Westhampton Sta, Richmond) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 21-minute average reception wait and 4.40/5 biomarker openness.
Clinical background for Dr. Langelier (MD, NPI #1689964488) includes accredited doctoral training (2006, 20 yrs in practice) and virtual + in-office availability across VA.
Compared against Richmond, VA Ophthalmology peers
3,980 annual services across 596 beneficiaries
Standard deviations from VA Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 474 | 21.21th | $122 – $168 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 333 | 19.21th | $67 – $92 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 218 | 24.21th | $81 – $111 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 154 | 26.21th | $147 – $202 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 102 | 25.21th | $540 – $739 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (57 HCPCS billing breadth) | 2,700 | 21.21th | $108 – $157 |
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Dr. Nicole Langelier, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Langelier National Provider Identifier | NPI #1689964488 (MD) | CMS NPPES Registry (23226) |
| Dr. Langelier Richmond CMS Volume Rank | 21.21th Pct (3,980 CMS svcs; Z -0.355σ) | CMS Medicare Part B (VA Ophthalmology) |
| 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 • 21 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.40/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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