FDFairDoctor.org

Dr. Thomas Lenns , M.D.

Fair / Standard
Practice Location: Hilton Head Island,South Carolina 29926
National Provider Identifier (NPI): 1780778555
33 mins
Average Visit Time
2.32x
Markup Level
8,709
Annual Services
Fair Pricing Standard

Aligned with Customary Rates

2.3x 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

~33 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. Lenns provides standard-duration consultations averaging approximately 33 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
2.32x
National Specialty Average: 2.56x
Total Annual Charges Billed
$805,451
Gross billed amount on claims
Standard Benchmark Value
$346,614
Customary fee baseline
Practical Guide for Patients and Families:

Dr. Lenns'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
HCPCS J0897
1,560$26.35$41.68$23.240.63x
CPT 36415
712$20.00$15.00$8.381.33x
CPT 99214
615$142.00$245.00$119.940.58x
CPT 80048
502$79.00$31.00$8.292.55x
CPT 85025
393$42.00$29.41$7.611.43x
CPT 99213
369$100.00$168.44$84.460.59x
CPT 80061
332$88.00$46.00$13.121.91x
CPT 80076
292$53.00$31.75$8.011.67x
👨‍⚕️ 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: 33 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: 2.32x. 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. Lenns 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.