Dr. Michael Downs, MD
300 E 6th St, Texarkana, AR 71854 • +1-775-555-8061
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Texarkana Percentiles
NPI #1639177959 • CBSA Regional • Family Practice
Within the Texarkana, AR (CBSA local) Family Practice cohort, Dr. Michael Downs, MD with sub-specialty concentration in 38 Active CMS HCPCS Codes ranks at the 8.33th municipal percentile and 4.74th AR percentile (-0.60σ Z-score) based on 713 billed procedures for 265 patients.
Fee-schedule auditing of NPI 1639177959 highlights 282 annual claims for 99214 (12th Texarkana percentile; $80–$110 self-pay corridor) plus 208 encounters under 99213 and 81 under G0439.
Cash-pay intake data for NPI 1639177959 (300 E 6th St, Texarkana) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 14-minute average reception wait and 4.77/5 biomarker openness.
Patients evaluating Dr. Michael Downs in ZIP 71854 note 24 years of post-doctoral tenure (null, 2002) alongside 2.7 annual CMS procedures per patient.
Compared against Texarkana, AR Family Practice peers
713 annual services across 265 beneficiaries
Standard deviations from AR 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 | 282 | 12th | $80 – $110 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 208 | 13.33th | $61 – $84 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 81 | 12th | $92 – $126 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 60 | 13.33th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 40 | 12th | $110 – $151 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (38 HCPCS billing breadth) | 41 | 8.33th | $72 – $104 |
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Dr. Michael Downs, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Downs National Provider Identifier | NPI #1639177959 (MD) | CMS NPPES Registry (71854) |
| Dr. Downs Texarkana CMS Volume Rank | 8.33th Pct (713 CMS svcs; Z -0.597σ) | CMS Medicare Part B (AR Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Texarkana, AR) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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