Dr. Michael Rusche, MD
3800 Venetian Way, Ste 200, Newburgh, IN 47630 • +1-842-555-2685
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Newburgh Percentiles
NPI #1659301760 • CBSA Regional • Gastroenterology
Within the Newburgh, IN (CBSA local) Gastroenterology cohort, Dr. Michael Rusche, MD with sub-specialty concentration in 61 Active CMS HCPCS Codes ranks at the 54.55th municipal percentile and 86.32th IN percentile (+1.14σ Z-score) based on 7,476 billed procedures for 804 patients.
Fee-schedule auditing of NPI 1659301760 highlights 2766 annual claims for 99214 (54.55th Newburgh percentile; $83–$114 self-pay corridor) plus 1869 encounters under 45380 and 1570 under 43239.
Self-pay new patient consultations with Dr. Rusche (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 14-minute average reception wait, and a 4.79/5 modern protocol openness score across 10 patient logs.
Clinical background for Dr. Rusche (MD, NPI #1659301760) includes accredited doctoral training (2011, 15 yrs in practice) and virtual + in-office availability across IN.
Compared against Newburgh, IN Gastroenterology peers
7,476 annual services across 804 beneficiaries
Standard deviations from IN Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 2,766 | 54.55th | $83 – $114 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 1,869 | 59.55th | $201 – $275 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 1,570 | 55.55th | $167 – $229 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 748 | 59.55th | $224 – $307 |
| 99204 | New Patient Digestive & Hepatology Consultation | 523 | 58.55th | $118 – $161 |
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Dr. Michael Rusche, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rusche National Provider Identifier | NPI #1659301760 (MD) | CMS NPPES Registry (47630) |
| Dr. Rusche Newburgh CMS Volume Rank | 54.55th Pct (7,476 CMS svcs; Z +1.142σ) | CMS Medicare Part B (IN Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Newburgh, IN) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.88/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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