Dr. Michael Hill, MD
55 Lake Ave N, Worcester, MA 01655 • +1-746-555-3313
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Worcester Percentiles
NPI #1609239607 • CBSA Regional • Emergency Medicine
Anchored in Worcester, MA 01655, Dr. Michael Hill, MD (NPI 1609239607) logged 694 annual procedures (focused low-volume boutique caseload (14.29th Worcester percentile), 13.53th MA percentile, -0.36σ) with sub-specialty concentration in 31 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1609239607 highlights 312 annual claims for 99214 (14.29th Worcester percentile; $186–$255 self-pay corridor) plus 180 encounters under 99213 and 90 under 93000.
Direct cash-pay transparency modeling sets Dr. Hill's baseline new-consult rate near $224.00 in Worcester, MA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 14-minute average reception wait).
Patients evaluating Dr. Michael Hill in ZIP 01655 note 32 years of post-doctoral tenure (null, 1994) alongside 1.2 annual CMS procedures per patient.
Compared against Worcester, MA Emergency Medicine peers
694 annual services across 573 beneficiaries
Standard deviations from MA Emergency 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 | 312 | 14.29th | $186 – $255 |
| 99213 | Established Preventive & Chronic Care Visit | 180 | 14.29th | $142 – $195 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 90 | 13.29th | $68 – $93 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 69 | 19.29th | $218 – $299 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 42 | 19.29th | $259 – $354 |
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Dr. Michael Hill, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Hill National Provider Identifier | NPI #1609239607 (MD) | CMS NPPES Registry (01655) |
| Dr. Hill Worcester CMS Volume Rank | 14.29th Pct (694 CMS svcs; Z -0.365σ) | CMS Medicare Part B (MA Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Worcester, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 14 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.88/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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