Dr. Michael Mawby, MD
1115 S Union St, Traverse City, MI 49684 • +1-398-555-6820
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Traverse City Percentiles
NPI #1720084114 • CBSA Regional • Rheumatology
Statistical peer benchmarking across MI Rheumatology providers positions Dr. Michael Mawby, MD in Traverse City at +0.66σ (50th city percentile / 83.87th state percentile, 276 Medicare beneficiaries), with clinical focus spanning 67 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1720084114 highlights 707 annual claims for 99214 (50th Traverse City percentile; $45–$62 self-pay corridor) plus 323 encounters under 20610 and 231 under 96413.
Self-pay new patient consultations with Dr. Mawby (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 11-minute average reception wait, and a 4.77/5 modern protocol openness score across 11 patient logs.
Clinical background for Dr. Mawby (MD, NPI #1720084114) includes accredited doctoral training (2000, 26 yrs in practice) and virtual + in-office availability across MI.
Compared against Traverse City, MI Rheumatology peers
73,181 annual services across 276 beneficiaries
Standard deviations from MI Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 707 | 50th | $45 – $62 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 323 | 50th | $36 – $51 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 231 | 55th | $62 – $85 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 154 | 55th | $47 – $65 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 123 | 53th | $62 – $85 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (67 HCPCS billing breadth) | 71,643 | 50th | $45 – $65 |
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Dr. Michael Mawby, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mawby National Provider Identifier | NPI #1720084114 (MD) | CMS NPPES Registry (49684) |
| Dr. Mawby Traverse City CMS Volume Rank | 50.00th Pct (73,181 CMS svcs; Z +0.663σ) | CMS Medicare Part B (MI Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Traverse City, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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