Dr. Patrick Higgins, DO
5050 Poplar Ave Ste 800, Memphis, TN 38157 • +1-291-555-4608
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Memphis Percentiles
NPI #1235472507 • CBSA Regional • Pulmonary Disease
Operating out of Memphis, TN (5050 Poplar Ave Ste 800), Pulmonary Disease clinician Dr. Patrick Higgins, DO (accredited MD/DO training, 2010) maintains a mid-cohort balanced caseload (60th Memphis percentile) (70.97th TN percentile; Z-score -0.09σ across 2,090 documented services) with sub-specialty concentration in 49 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1235472507 highlights 857 annual claims for 99214 (60th Memphis percentile; $119–$163 self-pay corridor) plus 481 encounters under 94060 and 355 under 94729.
Uninsured and high-deductible cash patients visiting Dr. Patrick Higgins in Memphis (38157) face an estimated $201.00 initial evaluation fee at 5050 Poplar Ave Ste 800 (in-person clinic visits only; 10-minute average reception wait; bedside manner 4.56/5 from 18 verified reports).
Spanning 16 years of clinical practice following 2010 graduation from medical training, Dr. Patrick Higgins integrates 49 Active CMS HCPCS Codes diagnostics for Memphis metro patients.
Compared against Memphis, TN Pulmonary Disease peers
2,090 annual services across 642 beneficiaries
Standard deviations from TN Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 857 | 60th | $119 – $163 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 481 | 65th | $77 – $106 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 355 | 65th | $70 – $96 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 230 | 61th | $217 – $297 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 167 | 57th | $167 – $229 |
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Dr. Patrick Higgins, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Higgins National Provider Identifier | NPI #1235472507 (DO) | CMS NPPES Registry (38157) |
| Dr. Higgins Memphis CMS Volume Rank | 60.00th Pct (2,090 CMS svcs; Z -0.093σ) | CMS Medicare Part B (TN Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $201.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Memphis, TN) |
| Waiting-Room Wait Time & Cash Friendliness | $201.00 avg paid • 10 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.56/5 Listening • 4.62/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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