Dr. Michael Smith, MD
1425 N Randall Rd, Elgin, IL 60123 • +1-677-555-6738
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Elgin Percentiles
NPI #1275547432 • CBSA Regional • Radiation Oncology
Within the Elgin, IL (CBSA local) Radiation Oncology cohort, Dr. Michael Smith, MD with sub-specialty concentration in 25 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 8.33th IL percentile (-0.53σ Z-score) based on 953 billed procedures for 149 patients.
Fee-schedule auditing of NPI 1275547432 highlights 429 annual claims for 99214 (12th Elgin percentile; $190–$261 self-pay corridor) plus 248 encounters under 99213 and 124 under 93000.
At 1425 N Randall Rd (60123), Dr. Michael Smith, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$218.00 per new consult (4.92/5 bedside rating).
Credentialed as an MD specialist with 10 years post-graduation experience since completing medical school at an LCME/COCA institution (2016), Dr. Smith coordinates 25 Active CMS HCPCS Codes workups from 1425 N Randall Rd (+1-677-555-6738).
Compared against Elgin, IL Radiation Oncology peers
953 annual services across 149 beneficiaries
Standard deviations from IL Radiation Oncology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 429 | 12th | $190 – $261 |
| 99213 | Established Preventive & Chronic Care Visit | 248 | 12th | $145 – $199 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 124 | 12th | $69 – $95 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 95 | 12th | $223 – $306 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 57 | 12th | $265 – $362 |
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Dr. Michael Smith, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Smith National Provider Identifier | NPI #1275547432 (MD) | CMS NPPES Registry (60123) |
| Dr. Smith Elgin CMS Volume Rank | 0.00th Pct (953 CMS svcs; Z -0.532σ) | CMS Medicare Part B (IL Radiation Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Elgin, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 12 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.42/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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