Dr. Micah Schmal, DO
1391 Main St, Hamilton, OH 45013 • +1-538-555-2198
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Hamilton Percentiles
NPI #1861923575 • CBSA Regional • Family Practice
Statistical peer benchmarking across OH Family Practice providers positions Dr. Micah Schmal, DO in Hamilton at -0.26σ (25th city percentile / 33.35th state percentile, 190 Medicare beneficiaries), with clinical focus spanning 42 Active CMS HCPCS Codes.
Procedural volume for Dr. Schmal is led by HCPCS 99214 (Comprehensive Primary Care & Chronic Protocol Management — 358 annual services, $83–$114 GPCI cash estimate), followed by CPT 99213 (Focused Acute & Preventive Primary Care Evaluation, 264/yr) and CPT G0439 (Annual Wellness Biomarker & Preventive Screening Visit, 102/yr).
For out-of-network patients contacting +1-538-555-2198, Dr. Schmal's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.93/5 composite reality score over 16 submissions).
Clinical background for Dr. Schmal (DO, NPI #1861923575) includes accredited doctoral training (2014, 12 yrs in practice) and virtual + in-office availability across OH.
Compared against Hamilton, OH Family Practice peers
973 annual services across 190 beneficiaries
Standard deviations from OH Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 358 | 25th | $83 – $114 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 264 | 30th | $64 – $87 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 102 | 29th | $96 – $131 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 77 | 21th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 51 | 23th | $114 – $157 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (42 HCPCS billing breadth) | 121 | 25th | $75 – $109 |
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Dr. Micah Schmal, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Schmal National Provider Identifier | NPI #1861923575 (DO) | CMS NPPES Registry (45013) |
| Dr. Schmal Hamilton CMS Volume Rank | 25.00th Pct (973 CMS svcs; Z -0.262σ) | CMS Medicare Part B (OH Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Hamilton, OH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.56/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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