Dr. Miguel Lalama, MD
3112 Fairview DR, Owensboro, KY 42303 • +1-833-555-8642
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Owensboro Percentiles
NPI #1669793683 • CBSA Regional • Gastroenterology
Dr. Miguel Lalama, MD (NPI #1669793683) practices Gastroenterology in Owensboro, KY (42303) with sub-specialty concentration in 64 Active CMS HCPCS Codes, recording 1,160 annual CMS services across 427 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Owensboro percentile) (-0.37σ vs KY state mean, 60.92th statewide percentile).
Procedural volume for Dr. Lalama is led by HCPCS 99214 (Established Gastroenterology, GERD & IBD Evaluation — 429 annual services, $172–$236 GPCI cash estimate), followed by CPT 45380 (Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy, 290/yr) and CPT 43239 (Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy, 244/yr).
Direct cash-pay transparency modeling sets Dr. Lalama's baseline new-consult rate near $209.00 in Owensboro, KY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 13-minute average reception wait).
Credentialed as an MD specialist with 11 years post-graduation experience since completing medical school at an LCME/COCA institution (2015), Dr. Lalama coordinates 64 Active CMS HCPCS Codes workups from 3112 Fairview DR (+1-833-555-8642).
Compared against Owensboro, KY Gastroenterology peers
1,160 annual services across 427 beneficiaries
Standard deviations from KY 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 | 429 | 50th | $172 – $236 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 290 | 47th | $416 – $569 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 244 | 51th | $345 – $473 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 116 | 47th | $463 – $634 |
| 99204 | New Patient Digestive & Hepatology Consultation | 81 | 55th | $243 – $333 |
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Dr. Miguel Lalama, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lalama National Provider Identifier | NPI #1669793683 (MD) | CMS NPPES Registry (42303) |
| Dr. Lalama Owensboro CMS Volume Rank | 50.00th Pct (1,160 CMS svcs; Z -0.367σ) | CMS Medicare Part B (KY Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Owensboro, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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