Dr. Ryan Pursley, MD
101 W 8th Ave, Spokane, WA 99205 • +1-648-555-7558
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Spokane Percentiles
NPI #1861560476 • CBSA Regional • Emergency Medicine
CMS Medicare Part B utilization records credit Dr. Ryan Pursley (MD, NPI 1861560476) at 101 W 8th Ave in Spokane with 653 annual clinical services (354 beneficiaries), corresponding to a -0.27σ regional deviation and focused low-volume boutique caseload (21.43th Spokane percentile) with sub-specialty concentration in 29 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1861560476 highlights 294 annual claims for 99214 (21.43th Spokane percentile; $184–$251 self-pay corridor) plus 170 encounters under 99213 and 85 under 93000.
Cash-pay intake data for NPI 1861560476 (101 W 8th Ave, Spokane) indicates $222.00 typical out-of-pocket visit spend against a $222.00 locality benchmark, paired with 9-minute average reception wait and 4.65/5 biomarker openness.
NPI registry verification (#1861560476) confirms Dr. Ryan Pursley's MD standing serving CBSA 99205 with a 4.58/5 patient scorecard.
Compared against Spokane, WA Emergency Medicine peers
653 annual services across 354 beneficiaries
Standard deviations from WA Emergency 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 | 294 | 21.43th | $184 – $251 |
| 99213 | Established Preventive & Chronic Care Visit | 170 | 20.43th | $140 – $192 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 85 | 16.43th | $67 – $92 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 65 | 25.43th | $215 – $295 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 39 | 21.43th | $255 – $350 |
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Dr. Ryan Pursley, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pursley National Provider Identifier | NPI #1861560476 (MD) | CMS NPPES Registry (99205) |
| Dr. Pursley Spokane CMS Volume Rank | 21.43th Pct (653 CMS svcs; Z -0.273σ) | CMS Medicare Part B (WA Emergency Medicine) |
| 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 • 9 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.65/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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