Dr. Ralph Highshaw, MD
61 Memorial Medical Pkwy Ste 3807, Palm Coast, FL 32164 • +1-544-555-6104
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Palm Coast Percentiles
NPI #1386726453 • CBSA Regional • Urology
Dr. Ralph Highshaw, MD (NPI #1386726453) practices Urology in Palm Coast, FL (32164) with sub-specialty concentration in 56 Active CMS HCPCS Codes, recording 850 annual CMS services across 305 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Palm Coast percentile) (-0.38σ vs FL state mean, 7.12th statewide percentile).
Medicare Part B line-item claims for Dr. Ralph Highshaw (32164) place 99214 at the top of the practice ledger (306 yearly units, 12th metro rank), rounded out by 51798 and 52000.
Self-pay new patient consultations with Dr. Highshaw (CPT 99204 GPCI-adjusted benchmark) estimate around $216.00 (community reported average: $216.00) with in-person clinic visits only, 14-minute average reception wait, and a 4.85/5 modern protocol openness score across 18 patient logs.
NPI registry verification (#1386726453) confirms Dr. Ralph Highshaw's MD standing serving CBSA 32164 with a 4.79/5 patient scorecard.
Compared against Palm Coast, FL Urology peers
850 annual services across 305 beneficiaries
Standard deviations from FL 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 | 306 | 12th | $281 – $385 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 230 | 12th | $117 – $161 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 145 | 12th | $574 – $786 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 102 | 12th | $159 – $218 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 68 | 12th | $396 – $542 |
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Dr. Ralph Highshaw, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Highshaw National Provider Identifier | NPI #1386726453 (MD) | CMS NPPES Registry (32164) |
| Dr. Highshaw Palm Coast CMS Volume Rank | 0.00th Pct (850 CMS svcs; Z -0.382σ) | CMS Medicare Part B (FL Urology) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Palm Coast, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 14 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.95/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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