Dr. Mike Pappas, DO
1274 E Main St, Riverhead, NY 11901 • +1-933-555-1172
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Riverhead Percentiles
NPI #1538132154 • CBSA Regional • Physical Medicine and Rehabilitation
Anchored in Riverhead, NY 11901, Dr. Mike Pappas, DO (NPI 1538132154) logged 2,384 annual procedures (top-decile high-throughput specialist (99th percentile in Riverhead), 52.1th NY percentile, -0.34σ) with sub-specialty concentration in 35 Active CMS HCPCS Codes.
Procedural volume for Dr. Pappas is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 849 annual services, $133–$183 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 490/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 245/yr).
Direct cash-pay transparency modeling sets Dr. Pappas's baseline new-consult rate near $232.00 in Riverhead, NY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 15-minute average reception wait).
Clinical background for Dr. Pappas (DO, NPI #1538132154) includes accredited doctoral training (2011, 15 yrs in practice) and virtual + in-office availability across NY.
Top 10% Physical Medicine and Rehabilitation volume leader in Riverhead, NY
2,384 annual services across 315 beneficiaries
Standard deviations from NY Physical Medicine and Rehabilitation 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 | 849 | 99th | $133 – $183 |
| 99213 | Established Preventive & Chronic Care Visit | 490 | 99.5th | $102 – $140 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 245 | 95th | $49 – $67 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 189 | 99.5th | $156 – $214 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 113 | 99.5th | $185 – $254 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (35 HCPCS billing breadth) | 498 | 99th | $120 – $174 |
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Dr. Mike Pappas, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pappas National Provider Identifier | NPI #1538132154 (DO) | CMS NPPES Registry (11901) |
| Dr. Pappas Riverhead CMS Volume Rank | 99.00th Pct (2,384 CMS svcs; Z -0.338σ) | CMS Medicare Part B (NY Physical Medicine and Rehabilitation) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Riverhead, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 15 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.49/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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