Dr. Ara Makdessian, MD
225 Hospital Drive, Suite 265, Clark Clinic B, Winchester, KY 40391 • +1-742-555-8175
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Winchester Percentiles
NPI #1598752248 • CBSA Regional • Otolaryngology
Anchored in Winchester, KY 40391, Dr. Ara Makdessian, MD (NPI 1598752248) logged 6,377 annual procedures (top-decile high-throughput specialist (99th percentile in Winchester), 91.89th KY percentile, +2.21σ) with sub-specialty concentration in 20 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1598752248 highlights 2168 annual claims for 99213 (99th Winchester percentile; $35–$50 self-pay corridor) plus 1594 encounters under 31231 and 1212 under 31575.
Uninsured and high-deductible cash patients visiting Dr. Ara Makdessian in Winchester (40391) face an estimated $209.00 initial evaluation fee at 225 Hospital Drive, Suite 265, Clark Clinic B (in-person clinic visits only; 9-minute average reception wait; bedside manner 4.76/5 from 3 verified reports).
Clinical background for Dr. Makdessian (MD, NPI #1598752248) includes accredited doctoral training (2010, 16 yrs in practice) and dedicated on-site consultations at 225 Hospital Drive, Suite 265, Clark Clinic B.
Top 10% Otolaryngology volume leader in Winchester, KY
6,377 annual services across 332 beneficiaries
Standard deviations from KY 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 | 2,168 | 99th | $35 – $50 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 1,594 | 97th | $70 – $96 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 1,212 | 99.5th | $51 – $70 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 829 | 99.5th | $25 – $40 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 574 | 99.5th | $25 – $40 |
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Dr. Ara Makdessian, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Makdessian National Provider Identifier | NPI #1598752248 (MD) | CMS NPPES Registry (40391) |
| Dr. Makdessian Winchester CMS Volume Rank | 99.00th Pct (6,377 CMS svcs; Z +2.209σ) | CMS Medicare Part B (KY Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Winchester, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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