Dr. Alexander Horbal, DO
555 W Wackerly St Ste 2675, Midland, MI 48640 • +1-529-555-3924
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Midland Percentiles
NPI #1508166984 • CBSA Regional • Internal Medicine
CMS Medicare Part B utilization records credit Dr. Alexander Horbal (DO, NPI 1508166984) at 555 W Wackerly St Ste 2675 in Midland with 9,392 annual clinical services (405 beneficiaries), corresponding to a +0.82σ regional deviation and upper-quartile active clinical volume (88.89th Midland percentile) with sub-specialty concentration in 27 Active CMS HCPCS Codes.
Dr. Horbal's longitudinal care intensity (23.2 billed units per patient across 405 individuals) centers on 99214 (4025 annual units) and 99213 ($33–$48 cash range).
Direct cash-pay transparency modeling sets Dr. Horbal's baseline new-consult rate near $209.00 in Midland, MI (cash-pay accepted, hybrid in-clinic and telehealth video consults, 22-minute average reception wait).
Patients evaluating Dr. Alexander Horbal in ZIP 48640 note 12 years of post-doctoral tenure (null, 2014) alongside 23.2 annual CMS procedures per patient.
Compared against Midland, MI Internal Medicine peers
9,392 annual services across 405 beneficiaries
Standard deviations from MI Internal 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 | 4,025 | 88.89th | $43 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 2,325 | 92.89th | $33 – $48 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 1,163 | 91.89th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 894 | 92.89th | $51 – $70 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 537 | 85.89th | $60 – $83 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (27 HCPCS billing breadth) | 448 | 88.89th | $45 – $65 |
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Dr. Alexander Horbal, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Horbal National Provider Identifier | NPI #1508166984 (DO) | CMS NPPES Registry (48640) |
| Dr. Horbal Midland CMS Volume Rank | 88.89th Pct (9,392 CMS svcs; Z +0.818σ) | CMS Medicare Part B (MI Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Midland, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.82/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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