Dr. Mitchell Shirah, MD
59664 Highway 22, Roanoke, AL 36274 • +1-509-555-1057
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Roanoke Percentiles
NPI #1902889371 • CBSA Regional • Family Practice
Statistical peer benchmarking across AL Family Practice providers positions Dr. Mitchell Shirah, MD in Roanoke at +0.21σ (99th city percentile / 77.39th state percentile, 88 Medicare beneficiaries), with clinical focus spanning 48 Active CMS HCPCS Codes.
Procedural volume for Dr. Shirah is led by HCPCS 99214 (Comprehensive Primary Care & Chronic Protocol Management — 296 annual services, $43–$60 GPCI cash estimate), followed by CPT 99213 (Focused Acute & Preventive Primary Care Evaluation, 218/yr) and CPT G0439 (Annual Wellness Biomarker & Preventive Screening Visit, 84/yr).
For out-of-network patients contacting +1-509-555-1057, Dr. Shirah's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.68/5 composite reality score over 3 submissions).
NPI registry verification (#1902889371) confirms Dr. Mitchell Shirah's MD standing serving CBSA 36274 with a 4.68/5 patient scorecard.
Top 10% Family Practice volume leader in Roanoke, AL
4,509 annual services across 88 beneficiaries
Standard deviations from AL Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 296 | 99th | $43 – $60 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 218 | 99.5th | $33 – $48 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 84 | 95th | $50 – $68 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 63 | 99.5th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 42 | 99.5th | $60 – $82 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (48 HCPCS billing breadth) | 3,805 | 99th | $45 – $65 |
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Dr. Mitchell Shirah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shirah National Provider Identifier | NPI #1902889371 (MD) | CMS NPPES Registry (36274) |
| Dr. Shirah Roanoke CMS Volume Rank | 99.00th Pct (4,509 CMS svcs; Z +0.207σ) | CMS Medicare Part B (AL Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Roanoke, AL) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.85/5 Listening • 4.43/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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