Dr. Mickey Plymale, MD
104 Saluda Pointe DR, Lexington, SC 29072 • +1-729-555-3540
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Lexington Percentiles
NPI #1972809192 • CBSA Regional • Orthopedic Surgery
Within the Lexington, SC (CBSA local) Orthopedic Surgery cohort, Dr. Mickey Plymale, MD with sub-specialty concentration in 79 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 29.72th SC percentile (-0.40σ Z-score) based on 2,319 billed procedures for 402 patients.
Fee-schedule auditing of NPI 1972809192 highlights 501 annual claims for 99213 (99th Lexington percentile; $85–$117 self-pay corridor) plus 376 encounters under 20610 and 264 under 73562.
Self-pay new patient consultations with Dr. Plymale (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 11-minute average reception wait, and a 4.76/5 modern protocol openness score across 9 patient logs.
Spanning 25 years of clinical practice following 2001 graduation from medical training, Dr. Mickey Plymale integrates 79 Active CMS HCPCS Codes diagnostics for Lexington metro patients.
Top 10% Orthopedic Surgery volume leader in Lexington, SC
2,319 annual services across 402 beneficiaries
Standard deviations from SC 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 | 501 | 99th | $85 – $117 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 376 | 97th | $91 – $125 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 264 | 96th | $51 – $70 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 153 | 99.5th | $122 – $168 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 97 | 98th | $789 – $1081 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (79 HCPCS billing breadth) | 927 | 99th | $96 – $139 |
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Dr. Mickey Plymale, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Plymale National Provider Identifier | NPI #1972809192 (MD) | CMS NPPES Registry (29072) |
| Dr. Plymale Lexington CMS Volume Rank | 99.00th Pct (2,319 CMS svcs; Z -0.403σ) | CMS Medicare Part B (SC Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lexington, SC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.58/5 Listening • 4.76/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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