Dr. Michael Royalty, MD
1000 Monarch St Ste 100, Lexington, KY 40513 • +1-226-555-7864
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Lexington Percentiles
NPI #1083740377 • CBSA Regional • Family Practice
Statistical peer benchmarking across KY Family Practice providers positions Dr. Michael Royalty, MD in Lexington at -0.48σ (22.73th city percentile / 17.82th state percentile, 177 Medicare beneficiaries), with clinical focus spanning 34 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1083740377 highlights 310 annual claims for 99214 (22.73th Lexington percentile; $108–$148 self-pay corridor) plus 229 encounters under 99213 and 89 under G0439.
Direct cash-pay transparency modeling sets Dr. Royalty's baseline new-consult rate near $209.00 in Lexington, KY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 18-minute average reception wait).
From 1000 Monarch St Ste 100 in Lexington (+1-226-555-7864), Dr. Royalty, MD (12-year clinical track record) delivers 34 Active CMS HCPCS Codes care.
Compared against Lexington, KY Family Practice peers
852 annual services across 177 beneficiaries
Standard deviations from KY Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 310 | 22.73th | $108 – $148 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 229 | 27.73th | $83 – $113 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 89 | 23.73th | $124 – $170 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 66 | 26.73th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 44 | 20.73th | $148 – $203 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (34 HCPCS billing breadth) | 114 | 22.73th | $97 – $141 |
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Dr. Michael Royalty, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Royalty National Provider Identifier | NPI #1083740377 (MD) | CMS NPPES Registry (40513) |
| Dr. Royalty Lexington CMS Volume Rank | 22.73th Pct (852 CMS svcs; Z -0.484σ) | CMS Medicare Part B (KY Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lexington, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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