Dr. Michael Heilig, MD
318 Highland Park DR, Richmond, KY 40475 • +1-819-555-5096
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Richmond Percentiles
NPI #1811958291 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across KY Orthopedic Surgery providers positions Dr. Michael Heilig, MD in Richmond at -0.35σ (50th city percentile / 43.56th state percentile, 80 Medicare beneficiaries), with clinical focus spanning 34 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1811958291 highlights 197 annual claims for 99213 (50th Richmond percentile; $35–$50 self-pay corridor) plus 148 encounters under 20610 and 104 under 73562.
At 318 Highland Park DR (40475), Dr. Michael Heilig, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.76/5 bedside rating).
Patients evaluating Dr. Michael Heilig in ZIP 40475 note 12 years of post-doctoral tenure (null, 2014) alongside 27.0 annual CMS procedures per patient.
Compared against Richmond, KY Orthopedic Surgery peers
2,163 annual services across 80 beneficiaries
Standard deviations from KY Orthopedic Surgery 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 Orthopedic Joint & Spine Mobility Evaluation | 197 | 50th | $35 – $50 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 148 | 49th | $37 – $52 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 104 | 45th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 60 | 46th | $50 – $68 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 38 | 46th | $321 – $440 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (34 HCPCS billing breadth) | 1,615 | 50th | $45 – $65 |
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Dr. Michael Heilig, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Heilig National Provider Identifier | NPI #1811958291 (MD) | CMS NPPES Registry (40475) |
| Dr. Heilig Richmond CMS Volume Rank | 50.00th Pct (2,163 CMS svcs; Z -0.350σ) | CMS Medicare Part B (KY Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Richmond, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.68/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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