Dr. Michael Luggen, MD
311 Straight St, Cincinnati, OH 45219 • +1-555-555-6239
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Cincinnati Percentiles
NPI #1386635431 • CBSA Regional • Rheumatology
Within the Cincinnati, OH (CBSA local) Rheumatology cohort, Dr. Michael Luggen, MD with sub-specialty concentration in 30 Active CMS HCPCS Codes ranks at the 41.18th municipal percentile and 52.17th OH percentile (-0.47σ Z-score) based on 8,258 billed procedures for 185 patients.
Procedural volume for Dr. Luggen is led by HCPCS 99214 (Autoimmune Arthritis & Biologic/DMARD Safety Evaluation — 257 annual services, $45–$62 GPCI cash estimate), followed by CPT 20610 (Large Joint Synovial Arthrocentesis or Corticosteroid Injection, 117/yr) and CPT 96413 (Intravenous Biologic Infusion Therapy (First Hour), 84/yr).
Direct cash-pay transparency modeling sets Dr. Luggen's baseline new-consult rate near $209.00 in Cincinnati, OH (cash-pay accepted, in-person clinic visits only, 13-minute average reception wait).
Credentialed as an MD specialist with 10 years post-graduation experience since completing medical school at an LCME/COCA institution (2016), Dr. Luggen coordinates 30 Active CMS HCPCS Codes workups from 311 Straight St (+1-555-555-6239).
Compared against Cincinnati, OH Rheumatology peers
8,258 annual services across 185 beneficiaries
Standard deviations from OH 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 | 257 | 41.18th | $45 – $62 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 117 | 43.18th | $36 – $51 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 84 | 44.18th | $62 – $85 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 56 | 45.18th | $47 – $65 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 45 | 37.18th | $62 – $85 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (30 HCPCS billing breadth) | 7,699 | 41.18th | $45 – $65 |
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Dr. Michael Luggen, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Luggen National Provider Identifier | NPI #1386635431 (MD) | CMS NPPES Registry (45219) |
| Dr. Luggen Cincinnati CMS Volume Rank | 41.18th Pct (8,258 CMS svcs; Z -0.468σ) | CMS Medicare Part B (OH Rheumatology) |
| 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 • 13 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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