Dr. Michael Lagnese, DO
1569 Medical DR Ste 202, Pottstown, PA 19464 • +1-479-555-8776
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Pottstown Percentiles
NPI #1538148465 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across PA Internal Medicine providers positions Dr. Michael Lagnese, DO in Pottstown at -0.19σ (38.46th city percentile / 32.15th state percentile, 487 Medicare beneficiaries), with clinical focus spanning 32 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1538148465 highlights 426 annual claims for 99214 (38.46th Pottstown percentile; $192–$264 self-pay corridor) plus 246 encounters under 99213 and 123 under 93000.
Self-pay new patient consultations with Dr. Lagnese (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 17-minute average reception wait, and a 4.50/5 modern protocol openness score across 13 patient logs.
Patients evaluating Dr. Michael Lagnese in ZIP 19464 note 21 years of post-doctoral tenure (null, 2005) alongside 1.9 annual CMS procedures per patient.
Compared against Pottstown, PA Internal Medicine peers
947 annual services across 487 beneficiaries
Standard deviations from PA Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 426 | 38.46th | $192 – $264 |
| 99213 | Established Preventive & Chronic Care Visit | 246 | 37.46th | $147 – $202 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 123 | 40.46th | $70 – $96 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 95 | 40.46th | $226 – $310 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 57 | 39.46th | $268 – $367 |
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Dr. Michael Lagnese, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lagnese National Provider Identifier | NPI #1538148465 (DO) | CMS NPPES Registry (19464) |
| Dr. Lagnese Pottstown CMS Volume Rank | 38.46th Pct (947 CMS svcs; Z -0.188σ) | CMS Medicare Part B (PA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pottstown, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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