Dr. Thomas De Miranda, MD
2707 Market Trce, Fort Smith, AR 72908 • +1-644-555-2554
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Fort Smith Percentiles
NPI #1689866725 • CBSA Regional • Interventional Pain Management
Within the Fort Smith, AR (CBSA local) Interventional Pain Management cohort, Dr. Thomas De Miranda, MD with sub-specialty concentration in 50 Active CMS HCPCS Codes ranks at the 50th municipal percentile and 61.54th AR percentile (-0.24σ Z-score) based on 4,273 billed procedures for 296 patients.
Granular CPT/HCPCS billing distribution at 2707 Market Trce shows Dr. Thomas De Miranda's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 1611x/yr, 50th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 931x/yr, $106–$146).
Uninsured and high-deductible cash patients visiting Dr. Thomas De Miranda in Fort Smith (72908) face an estimated $209.00 initial evaluation fee at 2707 Market Trce (in-person clinic visits only; 12-minute average reception wait; bedside manner 4.71/5 from 12 verified reports).
NPI registry verification (#1689866725) confirms Dr. Thomas De Miranda's MD standing serving CBSA 72908 with a 4.85/5 patient scorecard.
Compared against Fort Smith, AR Interventional Pain Management peers
4,273 annual services across 296 beneficiaries
Standard deviations from AR Interventional Pain Management mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 1,611 | 50th | $139 – $191 |
| 99213 | Established Preventive & Chronic Care Visit | 931 | 48th | $106 – $146 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 465 | 53th | $51 – $70 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 358 | 54th | $163 – $224 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 215 | 48th | $194 – $265 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (50 HCPCS billing breadth) | 693 | 50th | $125 – $181 |
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Dr. Thomas De Miranda, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. De Miranda National Provider Identifier | NPI #1689866725 (MD) | CMS NPPES Registry (72908) |
| Dr. De Miranda Fort Smith CMS Volume Rank | 50.00th Pct (4,273 CMS svcs; Z -0.245σ) | CMS Medicare Part B (AR Interventional Pain Management) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fort Smith, AR) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.48/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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