Dr. Michael Higgins, DO
4055 Mariner Blvd, Spring Hill, FL 34609 • +1-440-555-6219
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Spring Hill Percentiles
NPI #1538134903 • CBSA Regional • Orthopedic Surgery
CMS Medicare Part B utilization records credit Dr. Michael Higgins (DO, NPI 1538134903) at 4055 Mariner Blvd in Spring Hill with 12,156 annual clinical services (473 beneficiaries), corresponding to a +0.27σ regional deviation and mid-cohort balanced caseload (50th Spring Hill percentile) with sub-specialty concentration in 70 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Michael Higgins (34609) place 99213 at the top of the practice ledger (763 yearly units, 50th metro rank), rounded out by 20610 and 73562.
Direct cash-pay transparency modeling sets Dr. Higgins's baseline new-consult rate near $216.00 in Spring Hill, FL (cash-pay accepted, in-person clinic visits only, 19-minute average reception wait).
NPI registry verification (#1538134903) confirms Dr. Michael Higgins's DO standing serving CBSA 34609 with a 4.60/5 patient scorecard.
Compared against Spring Hill, FL Orthopedic Surgery peers
12,156 annual services across 473 beneficiaries
Standard deviations from FL 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 | 763 | 50th | $36 – $51 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 572 | 54th | $38 – $53 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 403 | 46th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 233 | 45th | $51 – $70 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 148 | 46th | $331 – $454 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (70 HCPCS billing breadth) | 10,036 | 50th | $45 – $65 |
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Dr. Michael Higgins, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Higgins National Provider Identifier | NPI #1538134903 (DO) | CMS NPPES Registry (34609) |
| Dr. Higgins Spring Hill CMS Volume Rank | 50.00th Pct (12,156 CMS svcs; Z +0.265σ) | CMS Medicare Part B (FL Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Spring Hill, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 19 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.76/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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