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Dr. Thelma Barnes , O.D.

Moderate Markup
Practice Location: Scottsdale,Arizona 85259
National Provider Identifier (NPI): 1316920291
30 mins
Average Visit Time
3.27x
Markup Level
1,829
Annual Services
The Rushed Visit Index

Thorough Listener

~30 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.

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Appointment Length & Visit Style

Clinical appointment coding analysis across standard patient evaluations

Consultation Classification
In-Depth (30-40 mins)

Dr. Barnes provides standard-duration consultations averaging approximately 30 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.
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Pricing Transparency & Fee Comparison

How this provider bills compared to standard insurance benchmarks

Pricing Markup Ratio
3.27x
National Specialty Average: 2.56x
Total Annual Charges Billed
$531,857
Gross billed amount on claims
Standard Benchmark Value
$162,871
Customary fee baseline
Practical Guide for Patients and Families:

Dr. Barnes 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 & CodeAnnual ServicesDoctor ChargePeer NormStandard Baselinevs. Peer Norm
CPT 92014
817$350.00$168.00$122.672.08x
CPT 92012
283$290.00$132.42$87.562.19x
CPT 92133
240$184.67$90.00$34.072.05x
CPT 92083
238$220.00$124.81$60.731.76x
CPT 92134
94$185.00$95.00$38.551.95x
CPT 67820
52$267.69$108.24$26.222.47x
CPT 99203
34$360.00$234.50$109.321.54x
CPT 92004
31$450.00$199.00$142.652.26x
👨‍⚕️ 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: 30 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: 3.27x. 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. Barnes 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.