Dr. Ryan Topham, MD
250 E Saginaw St, East Lansing, MI 48823 • +1-831-555-5560
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & East Lansing Percentiles
NPI #1487867925 • CBSA Regional • Physical Medicine and Rehabilitation
Dr. Ryan Topham, MD (NPI #1487867925) practices Physical Medicine and Rehabilitation in East Lansing, MI (48823) with sub-specialty concentration in 44 Active CMS HCPCS Codes, recording 2,384 annual CMS services across 149 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (18.18th East Lansing percentile) (-0.30σ vs MI state mean, 53.11th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Topham (averaging 16.0 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 17% of tracked volume (400 encounters), paired with 99213 (231x).
Direct cash-pay transparency modeling sets Dr. Topham's baseline new-consult rate near $209.00 in East Lansing, MI (cash-pay accepted, hybrid in-clinic and telehealth video consults, 14-minute average reception wait).
Clinical background for Dr. Topham (MD, NPI #1487867925) includes accredited doctoral training (2008, 18 yrs in practice) and virtual + in-office availability across MI.
Compared against East Lansing, MI Physical Medicine and Rehabilitation peers
2,384 annual services across 149 beneficiaries
Standard deviations from MI Physical Medicine and Rehabilitation 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 | 400 | 18.18th | $95 – $130 |
| 99213 | Established Preventive & Chronic Care Visit | 231 | 14.18th | $72 – $99 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 116 | 14.18th | $35 – $50 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 89 | 15.18th | $111 – $152 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 53 | 18.18th | $132 – $181 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (44 HCPCS billing breadth) | 1,495 | 18.18th | $85 – $123 |
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Dr. Ryan Topham, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Topham National Provider Identifier | NPI #1487867925 (MD) | CMS NPPES Registry (48823) |
| Dr. Topham East Lansing CMS Volume Rank | 18.18th Pct (2,384 CMS svcs; Z -0.300σ) | CMS Medicare Part B (MI Physical Medicine and Rehabilitation) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (East Lansing, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.48/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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