Dr. Melissa Fischer, MD
3535 W 13 Mile Rd Ste 404, Royal Oak, MI 48073 • +1-277-555-7026
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Royal Oak Percentiles
NPI #1326067067 • CBSA Regional • Urology
Dr. Melissa Fischer, MD (NPI #1326067067) practices Urology in Royal Oak, MI (48073) with sub-specialty concentration in 118 Active CMS HCPCS Codes, recording 7,280 annual CMS services across 1,323 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (76.92th Royal Oak percentile) (+0.49σ vs MI state mean, 76.84th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Fischer (averaging 5.5 services per beneficiary), 99214 (Established Urologic, BPH & Androgen Evaluation) represents 25% of tracked volume (1853 encounters), paired with 51798 (1389x).
Self-pay new patient consultations with Dr. Fischer (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 16-minute average reception wait, and a 4.56/5 modern protocol openness score across 14 patient logs.
NPI registry verification (#1326067067) confirms Dr. Melissa Fischer's MD standing serving CBSA 48073 with a 4.83/5 patient scorecard.
Compared against Royal Oak, MI Urology peers
7,280 annual services across 1,323 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 | 1,853 | 76.92th | $87 – $119 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 1,389 | 80.92th | $36 – $51 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 875 | 77.92th | $177 – $243 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 618 | 80.92th | $49 – $67 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 412 | 76.92th | $122 – $167 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (118 HCPCS billing breadth) | 2,134 | 76.92th | $78 – $113 |
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Dr. Melissa Fischer, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fischer National Provider Identifier | NPI #1326067067 (MD) | CMS NPPES Registry (48073) |
| Dr. Fischer Royal Oak CMS Volume Rank | 76.92th Pct (7,280 CMS svcs; Z +0.494σ) | CMS Medicare Part B (MI Urology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Royal Oak, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.56/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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