Dr. Michael Chen, MD
3301 Mercy Health Blvd Ste 450, Ste 450, Cincinnati, OH 45211 • +1-395-555-7216
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Cincinnati Percentiles
NPI #1043428212 • CBSA Regional • Orthopedic Surgery
Within the Cincinnati, OH (CBSA local) Orthopedic Surgery cohort, Dr. Michael Chen, MD with sub-specialty concentration in 55 Active CMS HCPCS Codes ranks at the 8.82th municipal percentile and 16.82th OH percentile (-0.57σ Z-score) based on 911 billed procedures for 189 patients.
Fee-schedule auditing of NPI 1043428212 highlights 174 annual claims for 99213 (12th Cincinnati percentile; $79–$108 self-pay corridor) plus 130 encounters under 20610 and 92 under 73562.
Uninsured and high-deductible cash patients visiting Dr. Michael Chen in Cincinnati (45211) face an estimated $209.00 initial evaluation fee at 3301 Mercy Health Blvd Ste 450, Ste 450 (hybrid in-clinic and telehealth video consults; 14-minute average reception wait; bedside manner 4.73/5 from 4 verified reports).
NPI registry verification (#1043428212) confirms Dr. Michael Chen's MD standing serving CBSA 45211 with a 4.93/5 patient scorecard.
Compared against Cincinnati, OH Orthopedic Surgery peers
911 annual services across 189 beneficiaries
Standard deviations from OH 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 | 174 | 12th | $79 – $108 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 130 | 12th | $84 – $115 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 92 | 12th | $47 – $64 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 53 | 12th | $113 – $155 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 34 | 12th | $727 – $996 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (55 HCPCS billing breadth) | 428 | 8.82th | $89 – $129 |
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Dr. Michael Chen, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Chen National Provider Identifier | NPI #1043428212 (MD) | CMS NPPES Registry (45211) |
| Dr. Chen Cincinnati CMS Volume Rank | 8.82th Pct (911 CMS svcs; Z -0.568σ) | CMS Medicare Part B (OH Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Cincinnati, OH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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