Dr. Marc Mihalko, MD
1400 S Germantown Rd, Germantown, TN 38138 • +1-488-555-8878
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Germantown Percentiles
NPI #1568459345 • CBSA Regional • Orthopedic Surgery
Operating out of Germantown, TN (1400 S Germantown Rd), Orthopedic Surgery clinician Dr. Marc Mihalko, MD (accredited MD/DO training, 2017) maintains a top-decile high-throughput specialist (94.12th percentile in Germantown) (99.22th TN percentile; Z-score +6.05σ across 64,628 documented services) with sub-specialty concentration in 94 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Mihalko (averaging 54.4 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 3% of tracked volume (2151 encounters), paired with 20610 (1613x).
For out-of-network patients contacting +1-488-555-8878, Dr. Mihalko's practice posts a $201.00 GPCI self-pay consult estimate ($201.00 patient-logged median, 4.84/5 composite reality score over 19 submissions).
From 1400 S Germantown Rd in Germantown (+1-488-555-8878), Dr. Mihalko, MD (9-year clinical track record) delivers 94 Active CMS HCPCS Codes care.
Top 10% Orthopedic Surgery volume leader in Germantown, TN
64,628 annual services across 1,187 beneficiaries
Standard deviations from TN 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 | 2,151 | 94.12th | $33 – $48 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 1,613 | 89.12th | $36 – $51 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 1,135 | 95.12th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 657 | 91.12th | $48 – $66 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 418 | 97.12th | $308 – $423 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (94 HCPCS billing breadth) | 58,654 | 94.12th | $45 – $65 |
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Dr. Marc Mihalko, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mihalko National Provider Identifier | NPI #1568459345 (MD) | CMS NPPES Registry (38138) |
| Dr. Mihalko Germantown CMS Volume Rank | 94.12th Pct (64,628 CMS svcs; Z +6.049σ) | CMS Medicare Part B (TN Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $201.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Germantown, TN) |
| Waiting-Room Wait Time & Cash Friendliness | $201.00 avg paid • 21 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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