Dr. Michael Daines, MD
1906 Fairview Ave Ste 400, Caldwell, ID 83605 • +1-386-555-5533
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Caldwell Percentiles
NPI #1598973992 • CBSA Regional • Orthopedic Surgery
Within the Caldwell, ID (CBSA local) Orthopedic Surgery cohort, Dr. Michael Daines, MD with sub-specialty concentration in 58 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 75.64th ID percentile (+0.20σ Z-score) based on 3,007 billed procedures for 335 patients.
Fee-schedule auditing of NPI 1598973992 highlights 394 annual claims for 99213 (12th Caldwell percentile; $67–$92 self-pay corridor) plus 296 encounters under 20610 and 208 under 73562.
Direct cash-pay transparency modeling sets Dr. Daines's baseline new-consult rate near $209.00 in Caldwell, ID (cash-pay accepted, hybrid in-clinic and telehealth video consults, 22-minute average reception wait).
Clinical background for Dr. Daines (MD, NPI #1598973992) includes accredited doctoral training (2005, 21 yrs in practice) and virtual + in-office availability across ID.
Compared against Caldwell, ID Orthopedic Surgery peers
3,007 annual services across 335 beneficiaries
Standard deviations from ID 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 | 394 | 12th | $67 – $92 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 296 | 12th | $71 – $98 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 208 | 12th | $40 – $55 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 120 | 12th | $96 – $132 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 77 | 12th | $619 – $848 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (58 HCPCS billing breadth) | 1,912 | 0th | $75 – $109 |
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Dr. Michael Daines, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Daines National Provider Identifier | NPI #1598973992 (MD) | CMS NPPES Registry (83605) |
| Dr. Daines Caldwell CMS Volume Rank | 0.00th Pct (3,007 CMS svcs; Z +0.201σ) | CMS Medicare Part B (ID Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Caldwell, ID) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.88/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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