Dr. Tammy Spring, MD
7702 E Parham Rd, Suite 101, Richmond, VA 23294 • +1-270-555-3615
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Richmond Percentiles
NPI #1083816722 • CBSA Regional • Rheumatology
Within the Richmond, VA (CBSA local) Rheumatology cohort, Dr. Tammy Spring, MD with sub-specialty concentration in 59 Active CMS HCPCS Codes ranks at the 44.44th municipal percentile and 85.11th VA percentile (+0.81σ Z-score) based on 182,241 billed procedures for 542 patients.
Medicare Part B line-item claims for Dr. Tammy Spring (23294) place 99214 at the top of the practice ledger (3398 yearly units, 44.44th metro rank), rounded out by 20610 and 96413.
Uninsured and high-deductible cash patients visiting Dr. Tammy Spring in Richmond (23294) face an estimated $209.00 initial evaluation fee at 7702 E Parham Rd, Suite 101 (hybrid in-clinic and telehealth video consults; 21-minute average reception wait; bedside manner 4.79/5 from 5 verified reports).
Patients evaluating Dr. Tammy Spring in ZIP 23294 note 29 years of post-doctoral tenure (null, 1997) alongside 336.2 annual CMS procedures per patient.
Compared against Richmond, VA Rheumatology peers
182,241 annual services across 542 beneficiaries
Standard deviations from VA Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 3,398 | 44.44th | $45 – $62 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 1,551 | 49.44th | $36 – $51 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 1,108 | 47.44th | $62 – $85 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 739 | 42.44th | $47 – $65 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 591 | 44.44th | $62 – $85 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (59 HCPCS billing breadth) | 174,854 | 44.44th | $45 – $65 |
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Dr. Tammy Spring, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spring National Provider Identifier | NPI #1083816722 (MD) | CMS NPPES Registry (23294) |
| Dr. Spring Richmond CMS Volume Rank | 44.44th Pct (182,241 CMS svcs; Z +0.815σ) | CMS Medicare Part B (VA Rheumatology) |
| 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 | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.73/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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