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Orthopedic Surgery • Lima, OH 45804 • NPI #1538409131

Dr. Michael Edgerton, DO

801 Medical DR Ste A, Lima, OH 45804 • +1-808-555-6492

Medical Education: Accredited U.S. Medical School (Class of 2017)

124 Active CMS HCPCS Codes
4.89/5
Waiting-Room Score
16 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Lima Percentiles

NPI #1538409131 • CBSA Regional • Orthopedic Surgery

Dr. Michael Edgerton DotMD Verification Badge

CMS Medicare Part B utilization records credit Dr. Michael Edgerton (DO, NPI 1538409131) at 801 Medical DR Ste A in Lima with 10,953 annual clinical services (421 beneficiaries), corresponding to a +1.48σ regional deviation and upper-quartile active clinical volume (80th Lima percentile) with sub-specialty concentration in 124 Active CMS HCPCS Codes.

Procedural volume for Dr. Edgerton is led by HCPCS 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation — 477 annual services, $35–$50 GPCI cash estimate), followed by CPT 20610 (Major Joint (Knee/Shoulder/Hip) Aspiration or Injection, 357/yr) and CPT 73562 (Radiologic Weight-Bearing 3-View Knee Examination, 252/yr).

Uninsured and high-deductible cash patients visiting Dr. Michael Edgerton in Lima (45804) face an estimated $209.00 initial evaluation fee at 801 Medical DR Ste A (hybrid in-clinic and telehealth video consults; 14-minute average reception wait; bedside manner 4.62/5 from 16 verified reports).

Spanning 9 years of clinical practice following 2017 graduation from medical training, Dr. Michael Edgerton integrates 124 Active CMS HCPCS Codes diagnostics for Lima metro patients.

Lima Percentile 80.00th

Compared against Lima, OH Orthopedic Surgery peers

OH State Percentile 93.67th

10,953 annual services across 421 beneficiaries

Regional Volume Z-Score +1.484σ

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 477 80th $35 – $50
20610 Major Joint (Knee/Shoulder/Hip) Aspiration or Injection 357 77th $37 – $52
73562 Radiologic Weight-Bearing 3-View Knee Examination 252 78th $25 – $40
99203 New Patient Musculoskeletal Injury & Surgical Triage 146 81th $50 – $68
27447 Total Knee Arthroplasty Joint Reconstruction 93 75th $321 – $440
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (124 HCPCS billing breadth) 9,629 80th $45 – $65
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Dr. Michael Edgerton, DO Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Edgerton National Provider Identifier NPI #1538409131 (DO) CMS NPPES Registry (45804)
Dr. Edgerton Lima CMS Volume Rank 80.00th Pct (10,953 CMS svcs; Z +1.484σ) CMS Medicare Part B (OH Orthopedic Surgery)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Lima, OH)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 14 min lobby wait 16 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.62/5 Listening • 4.55/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
14 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.62/5
Patient communication rating
Modern Protocol Openness
4.55/5
Preventive labs, GLP-1s & HRT
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