Dr. Tiffany Higgins, DO
525 W Main St, Mt Pleasant, PA 15666 • +1-817-555-6362
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Mt Pleasant Percentiles
NPI #1902217052 • CBSA Regional • Family Practice
Dr. Tiffany Higgins, DO (NPI #1902217052) practices Family Practice in Mt Pleasant, PA (15666) with sub-specialty concentration in 43 Active CMS HCPCS Codes, recording 638 annual CMS services across 215 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Mt Pleasant percentile) (-0.53σ vs PA state mean, 1.25th statewide percentile).
Fee-schedule auditing of NPI 1902217052 highlights 234 annual claims for 99214 (12th Mt Pleasant percentile; $145–$199 self-pay corridor) plus 173 encounters under 99213 and 67 under G0439.
Self-pay new patient consultations with Dr. Higgins (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 11-minute average reception wait, and a 4.64/5 modern protocol openness score across 11 patient logs.
Patients evaluating Dr. Tiffany Higgins in ZIP 15666 note 8 years of post-doctoral tenure (null, 2018) alongside 3.0 annual CMS procedures per patient.
Compared against Mt Pleasant, PA Family Practice peers
638 annual services across 215 beneficiaries
Standard deviations from PA 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 | 234 | 12th | $145 – $199 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 173 | 12th | $111 – $152 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 67 | 12th | $166 – $228 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 50 | 12th | $32 – $47 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 33 | 12th | $199 – $273 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (43 HCPCS billing breadth) | 80 | 0th | $131 – $190 |
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Dr. Tiffany Higgins, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Higgins National Provider Identifier | NPI #1902217052 (DO) | CMS NPPES Registry (15666) |
| Dr. Higgins Mt Pleasant CMS Volume Rank | 0.00th Pct (638 CMS svcs; Z -0.529σ) | CMS Medicare Part B (PA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mt Pleasant, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.64/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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