Dr. Michael Smith, MD
1005 Health Center DR Ste 201, Mattoon, IL 61938 • +1-955-555-1586
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Mattoon Percentiles
NPI #1215043971 • CBSA Regional • Otolaryngology
Statistical peer benchmarking across IL Otolaryngology providers positions Dr. Michael Smith, MD in Mattoon at -0.68σ (50th city percentile / 4.26th state percentile, 421 Medicare beneficiaries), with clinical focus spanning 49 Active CMS HCPCS Codes.
Procedural volume for Dr. Smith is led by HCPCS 99213 (Focused Ear, Nose, Sinus & Throat Examination — 232 annual services, $118–$162 GPCI cash estimate), followed by CPT 31231 (Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy, 171/yr) and CPT 31575 (Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection, 130/yr).
Self-pay new patient consultations with Dr. Smith (CPT 99204 GPCI-adjusted benchmark) estimate around $218.00 (community reported average: $218.00) with in-person clinic visits only, 16-minute average reception wait, and a 4.62/5 modern protocol openness score across 24 patient logs.
Spanning 13 years of clinical practice following 2013 graduation from medical training, Dr. Michael Smith integrates 49 Active CMS HCPCS Codes diagnostics for Mattoon metro patients.
Compared against Mattoon, IL Otolaryngology peers
683 annual services across 421 beneficiaries
Standard deviations from IL Otolaryngology 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 Ear, Nose, Sinus & Throat Examination | 232 | 50th | $118 – $162 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 171 | 49th | $237 – $325 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 130 | 46th | $173 – $237 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 89 | 55th | $83 – $114 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 61 | 49th | $74 – $102 |
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Dr. Michael Smith, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Smith National Provider Identifier | NPI #1215043971 (MD) | CMS NPPES Registry (61938) |
| Dr. Smith Mattoon CMS Volume Rank | 50.00th Pct (683 CMS svcs; Z -0.681σ) | CMS Medicare Part B (IL Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mattoon, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 16 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.62/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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