Dr. Fallon Kapatais, MD
40015 Grand River Ave Ste 100, Novi, MI 48375 • +1-301-555-7198
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Novi Percentiles
NPI #1477811925 • CBSA Regional • Family Practice
Anchored in Novi, MI 48375, Dr. Fallon Kapatais, MD (NPI 1477811925) logged 1,207 annual procedures (mid-cohort balanced caseload (61.54th Novi percentile), 44.85th MI percentile, -0.33σ) with sub-specialty concentration in 38 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 40015 Grand River Ave Ste 100 shows Dr. Fallon Kapatais's primary concentration in Comprehensive Primary Care & Chronic Protocol Management (code 99214: 433x/yr, 61.54th local percentile) alongside Focused Acute & Preventive Primary Care Evaluation (99213: 320x/yr, $86–$118).
For out-of-network patients contacting +1-301-555-7198, Dr. Kapatais's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.54/5 composite reality score over 13 submissions).
Credentialed as an MD specialist with 15 years post-graduation experience since completing medical school at an LCME/COCA institution (2011), Dr. Kapatais coordinates 38 Active CMS HCPCS Codes workups from 40015 Grand River Ave Ste 100 (+1-301-555-7198).
Compared against Novi, MI Family Practice peers
1,207 annual services across 360 beneficiaries
Standard deviations from MI Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 433 | 61.54th | $113 – $155 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 320 | 58.54th | $86 – $118 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 124 | 63.54th | $130 – $178 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 93 | 66.54th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 62 | 61.54th | $155 – $213 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (38 HCPCS billing breadth) | 176 | 61.54th | $102 – $148 |
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Dr. Fallon Kapatais, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kapatais National Provider Identifier | NPI #1477811925 (MD) | CMS NPPES Registry (48375) |
| Dr. Kapatais Novi CMS Volume Rank | 61.54th Pct (1,207 CMS svcs; Z -0.333σ) | CMS Medicare Part B (MI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Novi, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.95/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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