Dr. Mark Raphael, DO
900 Cooper Ave Ste 4300, Saginaw, MI 48602 • +1-398-555-8932
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Saginaw Percentiles
NPI #1922428382 • CBSA Regional • Gastroenterology
Anchored in Saginaw, MI 48602, Dr. Mark Raphael, DO (NPI 1922428382) logged 777 annual procedures (focused low-volume boutique caseload (33.33th Saginaw percentile), 15.83th MI percentile, -0.49σ) with sub-specialty concentration in 37 Active CMS HCPCS Codes.
Procedural volume for Dr. Raphael is led by HCPCS 99214 (Established Gastroenterology, GERD & IBD Evaluation — 287 annual services, $183–$250 GPCI cash estimate), followed by CPT 45380 (Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy, 194/yr) and CPT 43239 (Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy, 163/yr).
Direct cash-pay transparency modeling sets Dr. Raphael's baseline new-consult rate near $209.00 in Saginaw, MI (cash-pay accepted, hybrid in-clinic and telehealth video consults, 10-minute average reception wait).
Spanning 27 years of clinical practice following 1999 graduation from medical training, Dr. Mark Raphael integrates 37 Active CMS HCPCS Codes diagnostics for Saginaw metro patients.
Compared against Saginaw, MI Gastroenterology peers
777 annual services across 364 beneficiaries
Standard deviations from MI Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 287 | 33.33th | $183 – $250 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 194 | 29.33th | $440 – $603 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 163 | 31.33th | $365 – $500 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 78 | 29.33th | $490 – $671 |
| 99204 | New Patient Digestive & Hepatology Consultation | 54 | 35.33th | $257 – $353 |
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Dr. Mark Raphael, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Raphael National Provider Identifier | NPI #1922428382 (DO) | CMS NPPES Registry (48602) |
| Dr. Raphael Saginaw CMS Volume Rank | 33.33th Pct (777 CMS svcs; Z -0.489σ) | CMS Medicare Part B (MI Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Saginaw, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.43/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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