Dr. Theodros Mengesha, MD
8484 Wann DR Nw Ste A, Madison, AL 35758 • +1-498-555-7346
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Madison Percentiles
NPI #1184771909 • CBSA Regional • Neurology
Within the Madison, AL (CBSA local) Neurology cohort, Dr. Theodros Mengesha, MD with sub-specialty concentration in 23 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 62.64th AL percentile (-0.24σ Z-score) based on 4,373 billed procedures for 959 patients.
Among 5 tracked CMS fee-schedule codes for Dr. Mengesha (averaging 4.6 services per beneficiary), 99214 (Established Neurologic, Migraine & Movement Evaluation) represents 42% of tracked volume (1837 encounters), paired with 95910 (875x).
Uninsured and high-deductible cash patients visiting Dr. Theodros Mengesha in Madison (35758) face an estimated $209.00 initial evaluation fee at 8484 Wann DR Nw Ste A (in-person clinic visits only; 20-minute average reception wait; bedside manner 4.75/5 from 24 verified reports).
From 8484 Wann DR Nw Ste A in Madison (+1-498-555-7346), Dr. Mengesha, MD (10-year clinical track record) delivers 23 Active CMS HCPCS Codes care.
Top 10% Neurology volume leader in Madison, AL
4,373 annual services across 959 beneficiaries
Standard deviations from AL Neurology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Neurologic, Migraine & Movement Evaluation | 1,837 | 99th | $245 – $335 |
| 95910 | 7–8 Nerve Conduction Electrodiagnostic Neuropathy Study | 875 | 96th | $404 – $554 |
| 95819 | Awake & Drowsy Electroencephalogram (EEG) Recording | 700 | 99.5th | $363 – $497 |
| 64615 | Chemodenervation of Cranial/Cervical Muscles for Chronic Migraine | 525 | 99.5th | $384 – $526 |
| 99204 | Comprehensive New Patient Neurologic Examination | 437 | 96th | $342 – $469 |
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Dr. Theodros Mengesha, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mengesha National Provider Identifier | NPI #1184771909 (MD) | CMS NPPES Registry (35758) |
| Dr. Mengesha Madison CMS Volume Rank | 99.00th Pct (4,373 CMS svcs; Z -0.241σ) | CMS Medicare Part B (AL Neurology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Madison, AL) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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