Dr. Edward Smith, MD
190 Campus Blvd, Suite 200, Winchester, VA 22601 • +1-297-555-8235
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Winchester Percentiles
NPI #1447216734 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across VA Internal Medicine providers positions Dr. Edward Smith, MD in Winchester at +0.63σ (89.19th city percentile / 97.72th state percentile, 554 Medicare beneficiaries), with clinical focus spanning 67 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Smith (averaging 22.7 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 44% of tracked volume (5474 encounters), paired with 99213 (3163x).
Self-pay new patient consultations with Dr. Smith (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 21-minute average reception wait, and a 4.56/5 modern protocol openness score across 21 patient logs.
Patients evaluating Dr. Edward Smith in ZIP 22601 note 16 years of post-doctoral tenure (null, 2010) alongside 22.7 annual CMS procedures per patient.
Compared against Winchester, VA Internal Medicine peers
12,551 annual services across 554 beneficiaries
Standard deviations from VA Internal Medicine 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 | 5,474 | 89.19th | $63 – $87 |
| 99213 | Established Preventive & Chronic Care Visit | 3,163 | 94.19th | $49 – $67 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 1,581 | 91.19th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 1,217 | 85.19th | $74 – $102 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 730 | 94.19th | $88 – $121 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (67 HCPCS billing breadth) | 386 | 89.19th | $57 – $83 |
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Dr. Edward Smith, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Smith National Provider Identifier | NPI #1447216734 (MD) | CMS NPPES Registry (22601) |
| Dr. Smith Winchester CMS Volume Rank | 89.19th Pct (12,551 CMS svcs; Z +0.628σ) | CMS Medicare Part B (VA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Winchester, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.56/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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