Urology • Gainesville, GA 30501 • NPI #1225023344

Dr. Michael Simmons, MD

743 Spring St Ne, Gainesville, GA 30501 • +1-396-555-2217

Medical Education: Accredited U.S. Medical School (Class of 2018)

72 Active CMS HCPCS Codes
4.56/5
Waiting-Room Score
11 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Gainesville Percentiles

NPI #1225023344 • CBSA Regional • Urology

Dr. Michael Simmons DotMD Verification Badge

Within the Gainesville, GA (CBSA local) Urology cohort, Dr. Michael Simmons, MD with sub-specialty concentration in 72 Active CMS HCPCS Codes ranks at the 16.67th municipal percentile and 48.58th GA percentile (-0.12σ Z-score) based on 3,790 billed procedures for 510 patients.

Among 6 tracked CMS fee-schedule codes for Dr. Simmons (averaging 7.4 services per beneficiary), 99214 (Established Urologic, BPH & Androgen Evaluation) represents 20% of tracked volume (752 encounters), paired with 51798 (564x).

Direct cash-pay transparency modeling sets Dr. Simmons's baseline new-consult rate near $209.00 in Gainesville, GA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 11-minute average reception wait).

From 743 Spring St Ne in Gainesville (+1-396-555-2217), Dr. Simmons, MD (8-year clinical track record) delivers 72 Active CMS HCPCS Codes care.

Gainesville Percentile 16.67th

Compared against Gainesville, GA Urology peers

GA State Percentile 48.58th

3,790 annual services across 510 beneficiaries

Regional Volume Z-Score -0.122σ

Standard deviations from GA 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 752 16.67th $75 – $103
51798 Ultrasound Measurement of Post-Void Residual Urine Capacity 564 12th $31 – $46
52000 Diagnostic Cystourethroscopy Lower Urinary Tract Inspection 355 14.67th $153 – $209
51741 Complex Electronic Uroflowmetry Stream Calibration 251 19.67th $42 – $58
99204 New Patient Urologic & Prostate Diagnostic Consultation 167 12.67th $105 – $144
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (72 HCPCS billing breadth) 1,702 16.67th $67 – $97
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Dr. Michael Simmons, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Simmons National Provider Identifier NPI #1225023344 (MD) CMS NPPES Registry (30501)
Dr. Simmons Gainesville CMS Volume Rank 16.67th Pct (3,790 CMS svcs; Z -0.122σ) CMS Medicare Part B (GA Urology)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Gainesville, GA)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 11 min lobby wait 11 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.71/5 Listening • 4.51/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
11 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.71/5
Patient communication rating
Modern Protocol Openness
4.51/5
Preventive labs, GLP-1s & HRT
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