Dr. Michael Guss, MD
159 Wells Ave Ste 500, Newton, MA 02459 • +1-249-555-4947
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Newton Percentiles
NPI #1063773711 • CBSA Regional • Orthopedic Surgery
Anchored in Newton, MA 02459, Dr. Michael Guss, MD (NPI 1063773711) logged 2,868 annual procedures (focused low-volume boutique caseload (23.08th Newton percentile), 58.97th MA percentile, -0.30σ) with sub-specialty concentration in 104 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1063773711 highlights 723 annual claims for 99213 (23.08th Newton percentile; $137–$188 self-pay corridor) plus 542 encounters under 20610 and 381 under 73562.
Cash-pay intake data for NPI 1063773711 (159 Wells Ave Ste 500, Newton) indicates $224.00 typical out-of-pocket visit spend against a $224.00 locality benchmark, paired with 17-minute average reception wait and 4.56/5 biomarker openness.
Credentialed as an MD specialist with 17 years post-graduation experience since completing medical school at an LCME/COCA institution (2009), Dr. Guss coordinates 104 Active CMS HCPCS Codes workups from 159 Wells Ave Ste 500 (+1-249-555-4947).
Compared against Newton, MA Orthopedic Surgery peers
2,868 annual services across 497 beneficiaries
Standard deviations from MA 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 | 723 | 23.08th | $137 – $188 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 542 | 28.08th | $146 – $200 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 381 | 24.08th | $82 – $112 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 221 | 22.08th | $196 – $269 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 140 | 24.08th | $1265 – $1733 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (104 HCPCS billing breadth) | 861 | 23.08th | $154 – $223 |
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Dr. Michael Guss, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Guss National Provider Identifier | NPI #1063773711 (MD) | CMS NPPES Registry (02459) |
| Dr. Guss Newton CMS Volume Rank | 23.08th Pct (2,868 CMS svcs; Z -0.300σ) | CMS Medicare Part B (MA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Newton, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 17 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.56/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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