Dr. Matthew Miles, MD
Medical Center Blvd, Pulmonary and Critical Care Medicine, Winston Salem, NC 27157 • +1-539-555-8279
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Winston Salem Percentiles
NPI #1316954522 • CBSA Regional • Internal Medicine
Within the Winston Salem, NC (CBSA local) Internal Medicine cohort, Dr. Matthew Miles, MD with sub-specialty concentration in 43 Active CMS HCPCS Codes ranks at the 75.86th municipal percentile and 48.57th NC percentile (-0.27σ Z-score) based on 1,530 billed procedures for 349 patients.
Fee-schedule auditing of NPI 1316954522 highlights 689 annual claims for 99214 (75.86th Winston Salem percentile; $73–$101 self-pay corridor) plus 398 encounters under 99213 and 199 under 93000.
Self-pay new patient consultations with Dr. Miles (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 12-minute average reception wait, and a 4.94/5 modern protocol openness score across 24 patient logs.
NPI registry verification (#1316954522) confirms Dr. Matthew Miles's MD standing serving CBSA 27157 with a 4.53/5 patient scorecard.
Compared against Winston Salem, NC Internal Medicine peers
1,530 annual services across 349 beneficiaries
Standard deviations from NC Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 689 | 75.86th | $73 – $101 |
| 99213 | Established Preventive & Chronic Care Visit | 398 | 79.86th | $56 – $77 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 199 | 79.86th | $27 – $42 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 153 | 71.86th | $86 – $118 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 92 | 72.86th | $102 – $140 |
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Dr. Matthew Miles, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Miles National Provider Identifier | NPI #1316954522 (MD) | CMS NPPES Registry (27157) |
| Dr. Miles Winston Salem CMS Volume Rank | 75.86th Pct (1,530 CMS svcs; Z -0.267σ) | CMS Medicare Part B (NC Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Winston Salem, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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