Dr. Michael Whalen, MD
2150 Pennsylvania Ave Nw, Dept of Urology, Gw Mfa Suite 3-417, Washington, DC 20037 • +1-811-555-1254
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Washington Percentiles
NPI #1164675245 • CBSA Regional • Urology
CMS Medicare Part B utilization records credit Dr. Michael Whalen (MD, NPI 1164675245) at 2150 Pennsylvania Ave Nw, Dept of Urology, Gw Mfa Suite 3-417 in Washington with 3,423 annual clinical services (330 beneficiaries), corresponding to a +0.29σ regional deviation and upper-quartile active clinical volume (72th Washington percentile) with sub-specialty concentration in 76 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Michael Whalen (20037) place 99214 at the top of the practice ledger (491 yearly units, 72th metro rank), rounded out by 51798 and 52000.
Cash-pay intake data for NPI 1164675245 (2150 Pennsylvania Ave Nw, Dept of Urology, Gw Mfa Suite 3-417, Washington) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 21-minute average reception wait and 4.59/5 biomarker openness.
NPI registry verification (#1164675245) confirms Dr. Michael Whalen's MD standing serving CBSA 20037 with a 4.52/5 patient scorecard.
Compared against Washington, DC Urology peers
3,423 annual services across 330 beneficiaries
Standard deviations from DC Urology 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 Urologic, BPH & Androgen Evaluation | 491 | 72th | $104 – $142 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 368 | 68th | $43 – $59 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 232 | 70th | $212 – $291 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 164 | 67th | $59 – $80 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 109 | 77th | $146 – $200 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (76 HCPCS billing breadth) | 2,060 | 72th | $94 – $136 |
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Dr. Michael Whalen, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Whalen National Provider Identifier | NPI #1164675245 (MD) | CMS NPPES Registry (20037) |
| Dr. Whalen Washington CMS Volume Rank | 72.00th Pct (3,423 CMS svcs; Z +0.291σ) | CMS Medicare Part B (DC Urology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Washington, DC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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