Dr. Adrian Smith , M.D.
Moderate MarkupBalanced Practice
Maintains a steady clinical rhythm balancing focused physical examination with patient discussion.
How is appointment length calculated?
Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).
Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.
Appointment Length & Visit Style
Clinical appointment coding analysis across standard patient evaluations
Dr. Smith provides standard-duration consultations averaging approximately 26 minutes per visit, aligned with typical medical practice guidelines.
Pricing Transparency & Fee Comparison
How this provider bills compared to standard insurance benchmarks
Dr. Smith bills moderately higher than baseline insurance benchmarks. If you are in-network, your co-pay or coinsurance will be determined by your plan's contracted rate. If paying out of pocket, request an upfront written fee estimate.
Verified Clinical Procedures & Surgical Focus
Official annual procedure volumes, customary fee comparisons, and clinical focus areas.
| Clinical Procedure & Code | Annual Services | Doctor Charge | Peer Norm | Standard Baseline | vs. Peer Norm |
|---|---|---|---|---|---|
CPT 99213 | 66 | $130.21 | $168.44 | $83.41 | 0.77x |
CPT 99203 | 46 | $162.96 | $234.50 | $103.32 | 0.69x |
CPT 99214 | 19 | $187.11 | $245.00 | $118.40 | 0.76x |
CPT 12032 | 18 | $1071.22 | $604.81 | $116.08 | 1.77x |
CPT 99212 | 18 | $74.22 | $104.00 | $51.69 | 0.71x |
CPT 99202 | 16 | $105.88 | $150.00 | $66.31 | 0.71x |
CPT 12052 | 14 | $1101.71 | $615.19 | $118.30 | 1.79x |
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👨⚕️ Physician & Medical Billing Intelligence (Click to view professional coding data)Expand ↓
This section provides clinical practice analytics for healthcare administrators, billing coders, and peer physicians evaluating practice benchmarks:
Estimated appointment time calculation: 26 minutes. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.
Gross charge multiplier: 3.15x. Useful for fee schedule alignment, out-of-network charge master analysis, and payer contract negotiations.
Patient Guidance: What to Ask Before Your Appointment
- In-Network Confirmation: Confirm directly with your insurance plan that Dr. Smith participates in your specific network tier.
- Surgical Facility Fees: If having surgery, verify whether it will be in a hospital or an outpatient surgery center. Facility charges are billed separately from physician fees.
- Written Estimates: If you are paying out of pocket or have a high deductible, request a written good-faith estimate before major treatments.