Dr. Michael Paley, MD
4921 Parkview Pl, Div IM Rheumatology, Ste 5c, Saint Louis, MO 63110 • +1-839-555-8056
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Saint Louis Percentiles
NPI #1205240470 • CBSA Regional • Rheumatology
Within the Saint Louis, MO (CBSA local) Rheumatology cohort, Dr. Michael Paley, MD with sub-specialty concentration in 28 Active CMS HCPCS Codes ranks at the 26.92th municipal percentile and 37.1th MO percentile (-0.61σ Z-score) based on 2,177 billed procedures for 76 patients.
Granular CPT/HCPCS billing distribution at 4921 Parkview Pl, Div IM Rheumatology, Ste 5c shows Dr. Michael Paley's primary concentration in Autoimmune Arthritis & Biologic/DMARD Safety Evaluation (code 99214: 68x/yr, 26.92th local percentile) alongside Large Joint Synovial Arthrocentesis or Corticosteroid Injection (20610: 31x/yr, $36–$51).
Self-pay new patient consultations with Dr. Paley (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 17-minute average reception wait, and a 4.54/5 modern protocol openness score across 17 patient logs.
Patients evaluating Dr. Michael Paley in ZIP 63110 note 17 years of post-doctoral tenure (null, 2009) alongside 28.6 annual CMS procedures per patient.
Compared against Saint Louis, MO Rheumatology peers
2,177 annual services across 76 beneficiaries
Standard deviations from MO 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 | 68 | 26.92th | $46 – $63 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 31 | 23.92th | $36 – $51 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 22 | 26.92th | $63 – $86 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 15 | 27.92th | $48 – $65 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 12 | 29.92th | $63 – $86 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (28 HCPCS billing breadth) | 2,030 | 26.92th | $45 – $65 |
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Dr. Michael Paley, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Paley National Provider Identifier | NPI #1205240470 (MD) | CMS NPPES Registry (63110) |
| Dr. Paley Saint Louis CMS Volume Rank | 26.92th Pct (2,177 CMS svcs; Z -0.614σ) | CMS Medicare Part B (MO Rheumatology) |
| 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 • 17 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.54/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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