Dr. Michael Higgins, MD
31 Pine Street, Suite 300, Norfolk, MA 02056 • +1-585-555-3680
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Norfolk Percentiles
NPI #1730251661 • CBSA Regional • Internal Medicine
Dr. Michael Higgins, MD (NPI #1730251661) practices Internal Medicine in Norfolk, MA (02056) with sub-specialty concentration in 98 Active CMS HCPCS Codes, recording 2,992 annual CMS services across 301 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (75th Norfolk percentile) (+0.13σ vs MA state mean, 82.61th statewide percentile).
Granular CPT/HCPCS billing distribution at 31 Pine Street, Suite 300 shows Dr. Michael Higgins's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 1235x/yr, 75th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 713x/yr, $55–$75).
At 31 Pine Street, Suite 300 (02056), Dr. Michael Higgins, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$224.00 per new consult (4.91/5 bedside rating).
Clinical background for Dr. Higgins (MD, NPI #1730251661) includes accredited doctoral training (1994, 32 yrs in practice) and virtual + in-office availability across MA.
Compared against Norfolk, MA Internal Medicine peers
2,992 annual services across 301 beneficiaries
Standard deviations from MA Internal Medicine 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 | 1,235 | 75th | $72 – $98 |
| 99213 | Established Preventive & Chronic Care Visit | 713 | 78th | $55 – $75 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 357 | 71th | $26 – $41 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 274 | 74th | $84 – $116 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 165 | 71th | $100 – $137 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (98 HCPCS billing breadth) | 248 | 75th | $65 – $94 |
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Dr. Michael Higgins, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Higgins National Provider Identifier | NPI #1730251661 (MD) | CMS NPPES Registry (02056) |
| Dr. Higgins Norfolk CMS Volume Rank | 75.00th Pct (2,992 CMS svcs; Z +0.125σ) | CMS Medicare Part B (MA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Norfolk, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 19 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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