Dr. Mica Kane, MD
520 Maple Ave Ste 4, West Chester, PA 19380 • +1-767-555-1661
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & West Chester Percentiles
NPI #1225651144 • CBSA Regional • Internal Medicine
Anchored in West Chester, PA 19380, Dr. Mica Kane, MD (NPI 1225651144) logged 1,202 annual procedures (focused low-volume boutique caseload (17.39th West Chester percentile), 47.29th PA percentile, -0.15σ) with sub-specialty concentration in 38 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1225651144 highlights 505 annual claims for 99214 (17.39th West Chester percentile; $97–$133 self-pay corridor) plus 292 encounters under 99213 and 146 under 93000.
Cash-pay intake data for NPI 1225651144 (520 Maple Ave Ste 4, West Chester) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 15-minute average reception wait and 4.59/5 biomarker openness.
Clinical background for Dr. Kane (MD, NPI #1225651144) includes accredited doctoral training (2018, 8 yrs in practice) and virtual + in-office availability across PA.
Compared against West Chester, PA Internal Medicine peers
1,202 annual services across 405 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 | 505 | 17.39th | $97 – $133 |
| 99213 | Established Preventive & Chronic Care Visit | 292 | 21.39th | $74 – $102 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 146 | 16.39th | $35 – $50 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 112 | 21.39th | $114 – $156 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 67 | 20.39th | $135 – $185 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (38 HCPCS billing breadth) | 80 | 17.39th | $87 – $126 |
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Dr. Mica Kane, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kane National Provider Identifier | NPI #1225651144 (MD) | CMS NPPES Registry (19380) |
| Dr. Kane West Chester CMS Volume Rank | 17.39th Pct (1,202 CMS svcs; Z -0.149σ) | CMS Medicare Part B (PA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (West Chester, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.94/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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