Dr. Efthemios Raphtis, MD
432 W. University DR., Rochester, MI 48307 • +1-256-555-1287
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Rochester Percentiles
NPI #1356379259 • CBSA Regional • Ophthalmology
Within the Rochester, MI (CBSA local) Ophthalmology cohort, Dr. Efthemios Raphtis, MD with sub-specialty concentration in 30 Active CMS HCPCS Codes ranks at the 80th municipal percentile and 63.94th MI percentile (-0.26σ Z-score) based on 2,957 billed procedures for 1,221 patients.
Fee-schedule auditing of NPI 1356379259 highlights 1094 annual claims for 92014 (80th Rochester percentile; $238–$327 self-pay corridor) plus 769 encounters under 92134 and 503 under 92083.
For out-of-network patients contacting +1-256-555-1287, Dr. Raphtis's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.94/5 composite reality score over 5 submissions).
NPI registry verification (#1356379259) confirms Dr. Efthemios Raphtis's MD standing serving CBSA 48307 with a 4.94/5 patient scorecard.
Compared against Rochester, MI Ophthalmology peers
2,957 annual services across 1,221 beneficiaries
Standard deviations from MI Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 1,094 | 80th | $238 – $327 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 769 | 76th | $131 – $180 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 503 | 76th | $158 – $216 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 355 | 83th | $287 – $393 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 237 | 75th | $1051 – $1440 |
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Dr. Efthemios Raphtis, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Raphtis National Provider Identifier | NPI #1356379259 (MD) | CMS NPPES Registry (48307) |
| Dr. Raphtis Rochester CMS Volume Rank | 80.00th Pct (2,957 CMS svcs; Z -0.263σ) | CMS Medicare Part B (MI Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Rochester, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.55/5 Listening • 4.88/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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