Dr. Joshua Palka, DO
620 Byron Rd Ste 1201, Howell, MI 48843 • +1-898-555-4758
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Howell Percentiles
NPI #1942692363 • CBSA Regional • Urology
Anchored in Howell, MI 48843, Dr. Joshua Palka, DO (NPI 1942692363) logged 8,604 annual procedures (top-decile high-throughput specialist (99th percentile in Howell), 80.79th MI percentile, +0.75σ) with sub-specialty concentration in 103 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Joshua Palka (48843) place 99214 at the top of the practice ledger (1412 yearly units, 99th metro rank), rounded out by 51798 and 52000.
Self-pay new patient consultations with Dr. Palka (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 13-minute average reception wait, and a 4.68/5 modern protocol openness score across 23 patient logs.
Credentialed as an DO specialist with 29 years post-graduation experience since completing medical school at an LCME/COCA institution (1997), Dr. Palka coordinates 103 Active CMS HCPCS Codes workups from 620 Byron Rd Ste 1201 (+1-898-555-4758).
Top 10% Urology volume leader in Howell, MI
8,604 annual services across 700 beneficiaries
Standard deviations from MI Urology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Urologic, BPH & Androgen Evaluation | 1,412 | 99th | $72 – $99 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 1,059 | 99.5th | $30 – $45 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 667 | 96th | $148 – $203 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 471 | 99.5th | $41 – $56 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 314 | 99.5th | $102 – $140 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (103 HCPCS billing breadth) | 4,681 | 99th | $65 – $94 |
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Dr. Joshua Palka, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Palka National Provider Identifier | NPI #1942692363 (DO) | CMS NPPES Registry (48843) |
| Dr. Palka Howell CMS Volume Rank | 99.00th Pct (8,604 CMS svcs; Z +0.754σ) | CMS Medicare Part B (MI Urology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Howell, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.68/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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