Dr. Mark Mikles, MD
3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612 • +1-618-555-5882
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Raleigh Percentiles
NPI #1316940133 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across NC Orthopedic Surgery providers positions Dr. Mark Mikles, MD in Raleigh at -0.28σ (62.3th city percentile / 51.77th state percentile, 599 Medicare beneficiaries), with clinical focus spanning 40 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1316940133 highlights 611 annual claims for 99213 (62.3th Raleigh percentile; $116–$159 self-pay corridor) plus 458 encounters under 20610 and 323 under 73562.
Direct cash-pay transparency modeling sets Dr. Mikles's baseline new-consult rate near $209.00 in Raleigh, NC (cash-pay accepted, hybrid in-clinic and telehealth video consults, 19-minute average reception wait).
NPI registry verification (#1316940133) confirms Dr. Mark Mikles's MD standing serving CBSA 27612 with a 4.82/5 patient scorecard.
Compared against Raleigh, NC Orthopedic Surgery peers
2,136 annual services across 599 beneficiaries
Standard deviations from NC Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 611 | 62.3th | $116 – $159 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 458 | 67.3th | $124 – $169 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 323 | 59.3th | $69 – $95 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 187 | 57.3th | $166 – $228 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 119 | 58.3th | $1072 – $1469 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (40 HCPCS billing breadth) | 438 | 62.3th | $131 – $190 |
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Dr. Mark Mikles, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mikles National Provider Identifier | NPI #1316940133 (MD) | CMS NPPES Registry (27612) |
| Dr. Mikles Raleigh CMS Volume Rank | 62.30th Pct (2,136 CMS svcs; Z -0.285σ) | CMS Medicare Part B (NC Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Raleigh, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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