Dr. Michael Speck, MD
1892 W Us Highway 290, Fredericksburg, TX 78624 • +1-367-555-3432
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Fredericksburg Percentiles
NPI #1881733897 • CBSA Regional • Urology
Dr. Michael Speck, MD (NPI #1881733897) practices Urology in Fredericksburg, TX (78624) with sub-specialty concentration in 72 Active CMS HCPCS Codes, recording 3,082 annual CMS services across 677 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Fredericksburg) (-0.19σ vs TX state mean, 40.04th statewide percentile).
Procedural volume for Dr. Speck is led by HCPCS 99214 (Established Urologic, BPH & Androgen Evaluation — 987 annual services, $152–$208 GPCI cash estimate), followed by CPT 51798 (Ultrasound Measurement of Post-Void Residual Urine Capacity, 741/yr) and CPT 52000 (Diagnostic Cystourethroscopy Lower Urinary Tract Inspection, 466/yr).
At 1892 W Us Highway 290 (78624), Dr. Michael Speck, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.84/5 bedside rating).
Patients evaluating Dr. Michael Speck in ZIP 78624 note 32 years of post-doctoral tenure (null, 1994) alongside 4.6 annual CMS procedures per patient.
Top 10% Urology volume leader in Fredericksburg, TX
3,082 annual services across 677 beneficiaries
Standard deviations from TX Urology 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 Urologic, BPH & Androgen Evaluation | 987 | 99th | $152 – $208 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 741 | 99th | $63 – $87 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 466 | 99.5th | $310 – $425 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 329 | 99th | $86 – $118 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 219 | 99th | $214 – $293 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (72 HCPCS billing breadth) | 339 | 99th | $137 – $199 |
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Dr. Michael Speck, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Speck National Provider Identifier | NPI #1881733897 (MD) | CMS NPPES Registry (78624) |
| Dr. Speck Fredericksburg CMS Volume Rank | 99.00th Pct (3,082 CMS svcs; Z -0.190σ) | CMS Medicare Part B (TX Urology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fredericksburg, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.91/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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