Dr. Michael Cain, MD
9005 Grant St Ste 200, Thornton, CO 80229 • +1-444-555-6663
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Thornton Percentiles
NPI #1366706129 • CBSA Regional • Orthopedic Surgery
Operating out of Thornton, CO (9005 Grant St Ste 200), Orthopedic Surgery clinician Dr. Michael Cain, MD (accredited MD/DO training, 2012) maintains a mid-cohort balanced caseload (40th Thornton percentile) (40.07th CO percentile; Z-score -0.40σ across 1,631 documented services) with sub-specialty concentration in 53 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1366706129 highlights 196 annual claims for 99213 (40th Thornton percentile; $52–$72 self-pay corridor) plus 147 encounters under 20610 and 104 under 73562.
Self-pay new patient consultations with Dr. Cain (CPT 99204 GPCI-adjusted benchmark) estimate around $211.00 (community reported average: $211.00) with hybrid in-clinic and telehealth video consults, 18-minute average reception wait, and a 4.93/5 modern protocol openness score across 14 patient logs.
NPI registry verification (#1366706129) confirms Dr. Michael Cain's MD standing serving CBSA 80229 with a 4.91/5 patient scorecard.
Compared against Thornton, CO Orthopedic Surgery peers
1,631 annual services across 146 beneficiaries
Standard deviations from CO Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 196 | 40th | $52 – $72 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 147 | 37th | $56 – $77 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 104 | 36th | $31 – $46 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 60 | 45th | $75 – $103 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 38 | 41th | $485 – $664 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (53 HCPCS billing breadth) | 1,086 | 40th | $59 – $86 |
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Dr. Michael Cain, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cain National Provider Identifier | NPI #1366706129 (MD) | CMS NPPES Registry (80229) |
| Dr. Cain Thornton CMS Volume Rank | 40.00th Pct (1,631 CMS svcs; Z -0.398σ) | CMS Medicare Part B (CO Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $211.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Thornton, CO) |
| Waiting-Room Wait Time & Cash Friendliness | $211.00 avg paid • 18 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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