Dr. Sonia Hepburn, MD
500 Sentara Cir Ste 203, Williamsburg, VA 23188 • +1-625-555-5028
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Williamsburg Percentiles
NPI #1760800858 • CBSA Regional • Medical Oncology
Statistical peer benchmarking across VA Medical Oncology providers positions Dr. Sonia Hepburn, MD in Williamsburg at +1.48σ (99th city percentile / 87.8th state percentile, 1,005 Medicare beneficiaries), with clinical focus spanning 178 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1760800858 highlights 4811 annual claims for 99214 (99th Williamsburg percentile; $43–$60 self-pay corridor) plus 2780 encounters under 99213 and 1390 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Sonia Hepburn in Williamsburg (23188) face an estimated $209.00 initial evaluation fee at 500 Sentara Cir Ste 203 (hybrid in-clinic and telehealth video consults; 17-minute average reception wait; bedside manner 4.68/5 from 13 verified reports).
Clinical background for Dr. Hepburn (MD, NPI #1760800858) includes accredited doctoral training (2017, 9 yrs in practice) and virtual + in-office availability across VA.
Top 10% Medical Oncology volume leader in Williamsburg, VA
130,542 annual services across 1,005 beneficiaries
Standard deviations from VA Medical Oncology 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 | 4,811 | 99th | $43 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 2,780 | 99th | $33 – $48 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 1,390 | 97th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 1,069 | 99.5th | $51 – $70 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 641 | 95th | $60 – $83 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (178 HCPCS billing breadth) | 119,851 | 99th | $45 – $65 |
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Dr. Sonia Hepburn, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Hepburn National Provider Identifier | NPI #1760800858 (MD) | CMS NPPES Registry (23188) |
| Dr. Hepburn Williamsburg CMS Volume Rank | 99.00th Pct (130,542 CMS svcs; Z +1.480σ) | CMS Medicare Part B (VA Medical Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Williamsburg, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.42/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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