Dr. Tyler Spiering, MD
370 N 120th Ave, Holland, MI 49424 • +1-960-555-4962
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Holland Percentiles
NPI #1821447020 • CBSA Regional • Orthopedic Surgery
Dr. Tyler Spiering, MD (NPI #1821447020) practices Orthopedic Surgery in Holland, MI (49424) with sub-specialty concentration in 50 Active CMS HCPCS Codes, recording 8,201 annual CMS services across 244 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (60th Holland percentile) (+0.73σ vs MI state mean, 87.28th statewide percentile).
Dr. Spiering's longitudinal care intensity (33.6 billed units per patient across 244 individuals) centers on 99213 (227 annual units) and 20610 ($37–$52 cash range).
Self-pay new patient consultations with Dr. Spiering (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 19-minute average reception wait, and a 4.47/5 modern protocol openness score across 5 patient logs.
From 370 N 120th Ave in Holland (+1-960-555-4962), Dr. Spiering, MD (17-year clinical track record) delivers 50 Active CMS HCPCS Codes care.
Compared against Holland, MI Orthopedic Surgery peers
8,201 annual services across 244 beneficiaries
Standard deviations from MI 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 | 227 | 60th | $35 – $50 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 170 | 55th | $37 – $52 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 120 | 64th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 69 | 59th | $50 – $68 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 44 | 58th | $321 – $440 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (50 HCPCS billing breadth) | 7,571 | 60th | $45 – $65 |
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Dr. Tyler Spiering, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spiering National Provider Identifier | NPI #1821447020 (MD) | CMS NPPES Registry (49424) |
| Dr. Spiering Holland CMS Volume Rank | 60.00th Pct (8,201 CMS svcs; Z +0.734σ) | CMS Medicare Part B (MI Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Holland, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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