FDFairDoctor.org

Dr. James Clarkson , M.D.

Fair / Standard
Practice Location: East Lansing,Michigan 48823
National Provider Identifier (NPI): 1124275698
31 mins
Average Visit Time
2.38x
Markup Level
345
Annual Services
Fair Pricing Standard

Aligned with Customary Rates

2.4x Markup

This physician's billed charges remain close to standard insurance allowable rates (within 2.5 times baseline). Patients visiting this practice rarely encounter extreme out-of-pocket price inflation.

The Rushed Visit Index

Thorough Listener

~31 min face-time

Consistently devotes longer face-to-face evaluations. Ideal for complex medical concerns, multiple symptoms, or patients who value comprehensive discussion without feeling rushed.

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

Consultation Classification
In-Depth (30-40 mins)

Dr. Clarkson provides standard-duration consultations averaging approximately 31 minutes per visit, aligned with typical medical practice guidelines.

What visit duration tells you:
•Thorough evaluations: Longer appointments mean more opportunity to ask questions, review medical histories, and explain treatment options.
•Complex medical care: Patients managing multiple chronic conditions or seeking second opinions often benefit from physicians with extended visit styles.
🏷️

Pricing Transparency & Fee Comparison

How this provider bills compared to standard insurance benchmarks

Pricing Markup Ratio
2.38x
National Specialty Average: 2.56x
Total Annual Charges Billed
$78,708
Gross billed amount on claims
Standard Benchmark Value
$33,139
Customary fee baseline
Practical Guide for Patients and Families:

Dr. Clarkson's billed charges align closely with standard customary rates. If you have insurance, negotiated rates will apply. For self-paying, uninsured, or out-of-network care, this doctor's billing practices reflect customary and modest fees.

Verified Clinical Procedures & Surgical Focus

Official annual procedure volumes, customary fee comparisons, and clinical focus areas.

Clinical Procedure & CodeAnnual ServicesDoctor ChargePeer NormStandard Baselinevs. Peer Norm
CPT 99213
80$114.00$168.44$84.750.68x
HCPCS J0702
75$10.00$16.00$6.550.63x
CPT 20550
44$162.00$158.93$48.671.02x
CPT 99203
42$187.00$234.50$104.350.8x
CPT 99214
32$170.00$245.00$123.870.69x
CPT 99204
31$273.00$355.00$162.000.77x
CPT 64721
25$1529.00$1878.00$383.850.81x
CPT 20551
16$108.00$157.88$47.560.68x
👨‍⚕️ 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:

Evaluation & Management Mix

Estimated appointment time calculation: 31 minutes. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.

Charge-to-Payment Ratio

Gross charge multiplier: 2.38x. 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. Clarkson 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.