Dr. Michael Falkenhain, MD
595 Copeland Mill Rd, Suite 2d, Westerville, OH 43081 • +1-400-555-6291
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Westerville Percentiles
NPI #1922007657 • CBSA Regional • Nephrology
Dr. Michael Falkenhain, MD (NPI #1922007657) practices Nephrology in Westerville, OH (43081) with sub-specialty concentration in 23 Active CMS HCPCS Codes, recording 1,405 annual CMS services across 380 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (80th Westerville percentile) (-0.19σ vs OH state mean, 53.39th statewide percentile).
Fee-schedule auditing of NPI 1922007657 highlights 674 annual claims for 99214 (80th Westerville percentile; $181–$248 self-pay corridor) plus 309 encounters under 90960 and 253 under 99215.
Direct cash-pay transparency modeling sets Dr. Falkenhain's baseline new-consult rate near $209.00 in Westerville, OH (cash-pay accepted, in-person clinic visits only, 10-minute average reception wait).
Patients evaluating Dr. Michael Falkenhain in ZIP 43081 note 31 years of post-doctoral tenure (null, 1995) alongside 3.7 annual CMS procedures per patient.
Compared against Westerville, OH Nephrology peers
1,405 annual services across 380 beneficiaries
Standard deviations from OH Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 674 | 80th | $181 – $248 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 309 | 77th | $362 – $496 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 253 | 79th | $264 – $361 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 169 | 79th | $249 – $341 |
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Dr. Michael Falkenhain, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Falkenhain National Provider Identifier | NPI #1922007657 (MD) | CMS NPPES Registry (43081) |
| Dr. Falkenhain Westerville CMS Volume Rank | 80.00th Pct (1,405 CMS svcs; Z -0.191σ) | CMS Medicare Part B (OH Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Westerville, OH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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