Dr. Miguel Herrera-Martinez, MD
26901 Harper Ave, Saint Clair Shores, MI 48081 • +1-684-555-3529
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Saint Clair Shores Percentiles
NPI #1669823357 • CBSA Regional • Dermatology
CMS Medicare Part B utilization records credit Dr. Miguel Herrera-Martinez (MD, NPI 1669823357) at 26901 Harper Ave in Saint Clair Shores with 3,377 annual clinical services (834 beneficiaries), corresponding to a +0.01σ regional deviation and top-decile high-throughput specialist (99th percentile in Saint Clair Shores) with sub-specialty concentration in 83 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1669823357 highlights 1132 annual claims for 17000 (99th Saint Clair Shores percentile; $186–$255 self-pay corridor) plus 1032 encounters under 99213 and 633 under 11102.
Self-pay new patient consultations with Dr. Herrera-Martinez (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 20-minute average reception wait, and a 4.82/5 modern protocol openness score across 14 patient logs.
Credentialed as an MD specialist with 26 years post-graduation experience since completing medical school at an LCME/COCA institution (2000), Dr. Herrera-Martinez coordinates 83 Active CMS HCPCS Codes workups from 26901 Harper Ave (+1-684-555-3529).
Top 10% Dermatology volume leader in Saint Clair Shores, MI
3,377 annual services across 834 beneficiaries
Standard deviations from MI Dermatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 17000 | Cryotherapy Destruction of Premalignant Actinic Lesion | 1,132 | 99th | $186 – $255 |
| 99213 | Focused Cutaneous & Dermoscopic Examination | 1,032 | 94th | $208 – $285 |
| 11102 | Tangential Diagnostic Skin Biopsy of Single Lesion | 633 | 99.5th | $274 – $375 |
| 11401 | Excision of Benign Cutaneous Lesion (0.6 to 1.0 cm) | 333 | 99th | $383 – $525 |
| 99203 | New Patient Full-Body Skin Cancer & Dermatology Evaluation | 200 | 99.5th | $296 – $405 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (83 HCPCS billing breadth) | 48 | 99th | $227 – $329 |
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Dr. Miguel Herrera-Martinez, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Herrera-Martinez National Provider Identifier | NPI #1669823357 (MD) | CMS NPPES Registry (48081) |
| Dr. Herrera-Martinez Saint Clair Shores CMS Volume Rank | 99.00th Pct (3,377 CMS svcs; Z +0.005σ) | CMS Medicare Part B (MI Dermatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Saint Clair Shores, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.56/5 Listening • 4.82/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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