Dr. James Rose, MD
130 Fisher Rd, Suite 3-1, Berlin, VT 05602 • +1-440-555-6788
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Berlin Percentiles
NPI #1497778112 • CBSA Regional • Otolaryngology
Dr. James Rose, MD (NPI #1497778112) practices Otolaryngology in Berlin, VT (05602) with sub-specialty concentration in 53 Active CMS HCPCS Codes, recording 1,167 annual CMS services across 474 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Berlin) (+1.77σ vs VT state mean, 83.33th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Rose (averaging 2.5 services per beneficiary), 99213 (Focused Ear, Nose, Sinus & Throat Examination) represents 34% of tracked volume (397 encounters), paired with 31231 (292x).
Direct cash-pay transparency modeling sets Dr. Rose's baseline new-consult rate near $209.00 in Berlin, VT (cash-pay accepted, in-person clinic visits only, 10-minute average reception wait).
From 130 Fisher Rd, Suite 3-1 in Berlin (+1-440-555-6788), Dr. Rose, MD (28-year clinical track record) delivers 53 Active CMS HCPCS Codes care.
Top 10% Otolaryngology volume leader in Berlin, VT
1,167 annual services across 474 beneficiaries
Standard deviations from VT Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 397 | 99th | $81 – $110 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 292 | 99th | $162 – $222 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 222 | 99.5th | $118 – $162 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 152 | 96th | $57 – $78 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 105 | 99.5th | $51 – $70 |
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Dr. James Rose, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rose National Provider Identifier | NPI #1497778112 (MD) | CMS NPPES Registry (05602) |
| Dr. Rose Berlin CMS Volume Rank | 99.00th Pct (1,167 CMS svcs; Z +1.767σ) | CMS Medicare Part B (VT Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Berlin, VT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.65/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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