Dr. Sean Spangler, MD
122 W 7th Ave, Ste 450, Spokane, WA 99204 • +1-846-555-3967
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Spokane Percentiles
NPI #1982679619 • CBSA Regional • Cardiology
Anchored in Spokane, WA 99204, Dr. Sean Spangler, MD (NPI 1982679619) logged 3,330 annual procedures (mid-cohort balanced caseload (62.5th Spokane percentile), 67.56th WA percentile, +0.23σ) with sub-specialty concentration in 48 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1982679619 highlights 1254 annual claims for 99214 (62.5th Spokane percentile; $94–$128 self-pay corridor) plus 924 encounters under 93000 and 594 under 93306.
Self-pay new patient consultations with Dr. Spangler (CPT 99204 GPCI-adjusted benchmark) estimate around $222.00 (community reported average: $222.00) with hybrid in-clinic and telehealth video consults, 20-minute average reception wait, and a 4.81/5 modern protocol openness score across 16 patient logs.
Credentialed as an MD specialist with 18 years post-graduation experience since completing medical school at an LCME/COCA institution (2008), Dr. Spangler coordinates 48 Active CMS HCPCS Codes workups from 122 W 7th Ave, Ste 450 (+1-846-555-3967).
Compared against Spokane, WA Cardiology peers
3,330 annual services across 2,140 beneficiaries
Standard deviations from WA Cardiology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Cardiology Consultation & Hemodynamic Review | 1,254 | 62.5th | $94 – $128 |
| 93000 | 12-Lead Resting Electrocardiogram (ECG) w/ Interpretation | 924 | 59.5th | $37 – $52 |
| 93306 | Complete Transthoracic Echocardiography w/ Doppler & Color Flow | 594 | 64.5th | $175 – $240 |
| 93224 | 24-Hour Ambulatory ECG Rhythm Monitoring & Analysis | 330 | 65.5th | $110 – $151 |
| 99204 | Comprehensive New Patient Cardiovascular Risk Evaluation | 198 | 59.5th | $135 – $184 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (48 HCPCS billing breadth) | 30 | 62.5th | $85 – $123 |
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Dr. Sean Spangler, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spangler National Provider Identifier | NPI #1982679619 (MD) | CMS NPPES Registry (99204) |
| Dr. Spangler Spokane CMS Volume Rank | 62.50th Pct (3,330 CMS svcs; Z +0.225σ) | CMS Medicare Part B (WA Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Spokane, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 20 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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