Dr. Theodore Mlapah, MD
575 Beech Street, Holyoke Medical Center, Holyoke, MA 01040 • +1-781-555-3882
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Holyoke Percentiles
NPI #1811929342 • CBSA Regional • Hospitalist
Within the Holyoke, MA (CBSA local) Hospitalist cohort, Dr. Theodore Mlapah, MD with sub-specialty concentration in 12 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 78.97th MA percentile (+0.07σ Z-score) based on 1,147 billed procedures for 324 patients.
Among 5 tracked CMS fee-schedule codes for Dr. Mlapah (averaging 3.5 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (516 encounters), paired with 99213 (298x).
Uninsured and high-deductible cash patients visiting Dr. Theodore Mlapah in Holyoke (01040) face an estimated $224.00 initial evaluation fee at 575 Beech Street, Holyoke Medical Center (hybrid in-clinic and telehealth video consults; 15-minute average reception wait; bedside manner 4.96/5 from 19 verified reports).
Spanning 9 years of clinical practice following 2017 graduation from medical training, Dr. Theodore Mlapah integrates 12 Active CMS HCPCS Codes diagnostics for Holyoke metro patients.
Compared against Holyoke, MA Hospitalist peers
1,147 annual services across 324 beneficiaries
Standard deviations from MA Hospitalist mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 516 | 12th | $148 – $203 |
| 99213 | Established Preventive & Chronic Care Visit | 298 | 12th | $113 – $155 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 149 | 12th | $54 – $74 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 115 | 12th | $173 – $238 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 69 | 12th | $206 – $282 |
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Dr. Theodore Mlapah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mlapah National Provider Identifier | NPI #1811929342 (MD) | CMS NPPES Registry (01040) |
| Dr. Mlapah Holyoke CMS Volume Rank | 0.00th Pct (1,147 CMS svcs; Z +0.074σ) | CMS Medicare Part B (MA Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Holyoke, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 15 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.64/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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