Dr. James Higgins, MD
3333 N Calvert St, 2nd Fl, Baltimore, MD 21218 • +1-912-555-6371
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Baltimore Percentiles
NPI #1144284357 • CBSA Regional • Plastic and Reconstructive Surgery
Statistical peer benchmarking across MD Plastic and Reconstructive Surgery providers positions Dr. James Higgins, MD in Baltimore at +1.63σ (71.43th city percentile / 90.48th state percentile, 495 Medicare beneficiaries), with clinical focus spanning 85 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 3333 N Calvert St, 2nd Fl shows Dr. James Higgins's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 595x/yr, 71.43th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 344x/yr, $122–$167).
Self-pay new patient consultations with Dr. Higgins (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 11-minute average reception wait, and a 4.89/5 modern protocol openness score across 19 patient logs.
Credentialed as an MD specialist with 21 years post-graduation experience since completing medical school at an LCME/COCA institution (2005), Dr. Higgins coordinates 85 Active CMS HCPCS Codes workups from 3333 N Calvert St, 2nd Fl (+1-912-555-6371).
Compared against Baltimore, MD Plastic and Reconstructive Surgery peers
2,701 annual services across 495 beneficiaries
Standard deviations from MD Plastic and Reconstructive Surgery 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 | 595 | 71.43th | $159 – $218 |
| 99213 | Established Preventive & Chronic Care Visit | 344 | 71.43th | $122 – $167 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 172 | 66.43th | $58 – $80 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 132 | 73.43th | $187 – $256 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 79 | 72.43th | $221 – $303 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (85 HCPCS billing breadth) | 1,378 | 71.43th | $143 – $207 |
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Dr. James Higgins, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Higgins National Provider Identifier | NPI #1144284357 (MD) | CMS NPPES Registry (21218) |
| Dr. Higgins Baltimore CMS Volume Rank | 71.43th Pct (2,701 CMS svcs; Z +1.632σ) | CMS Medicare Part B (MD Plastic and Reconstructive Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Baltimore, MD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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