Dr. Michael Spezia, DO
23 N Oaks Plz, Suite 200, Saint Louis, MO 63121 • +1-759-555-7955
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Saint Louis Percentiles
NPI #1316928369 • CBSA Regional • Family Practice
Dr. Michael Spezia, DO (NPI #1316928369) practices Family Practice in Saint Louis, MO (63121) with sub-specialty concentration in 36 Active CMS HCPCS Codes, recording 628 annual CMS services across 138 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Saint Louis percentile) (-0.49σ vs MO state mean, 0th statewide percentile).
Fee-schedule auditing of NPI 1316928369 highlights 249 annual claims for 99214 (12th Saint Louis percentile; $139–$190 self-pay corridor) plus 184 encounters under 99213 and 71 under G0439.
Self-pay new patient consultations with Dr. Spezia (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 20-minute average reception wait, and a 4.86/5 modern protocol openness score across 12 patient logs.
Credentialed as an DO specialist with 25 years post-graduation experience since completing medical school at an LCME/COCA institution (2001), Dr. Spezia coordinates 36 Active CMS HCPCS Codes workups from 23 N Oaks Plz, Suite 200 (+1-759-555-7955).
Compared against Saint Louis, MO Family Practice peers
628 annual services across 138 beneficiaries
Standard deviations from MO Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 249 | 12th | $139 – $190 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 184 | 12th | $106 – $145 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 71 | 12th | $159 – $218 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 53 | 12th | $30 – $45 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 36 | 12th | $190 – $261 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (36 HCPCS billing breadth) | 36 | 0th | $125 – $181 |
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Dr. Michael Spezia, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spezia National Provider Identifier | NPI #1316928369 (DO) | CMS NPPES Registry (63121) |
| Dr. Spezia Saint Louis CMS Volume Rank | 0.00th Pct (628 CMS svcs; Z -0.487σ) | CMS Medicare Part B (MO Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Saint Louis, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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