Dr. Michael Pappas, MD
2001 N Jefferson Ave Ste 100, Mount Pleasant, TX 75455 • +1-483-555-3400
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Mount Pleasant Percentiles
NPI #1265432355 • CBSA Regional • Orthopedic Surgery
Within the Mount Pleasant, TX (CBSA local) Orthopedic Surgery cohort, Dr. Michael Pappas, MD with sub-specialty concentration in 101 Active CMS HCPCS Codes ranks at the 50th municipal percentile and 92.34th TX percentile (+1.11σ Z-score) based on 12,212 billed procedures for 365 patients.
Fee-schedule auditing of NPI 1265432355 highlights 495 annual claims for 99213 (50th Mount Pleasant percentile; $35–$50 self-pay corridor) plus 372 encounters under 20610 and 261 under 73562.
At 2001 N Jefferson Ave Ste 100 (75455), Dr. Michael Pappas, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.82/5 bedside rating).
Clinical background for Dr. Pappas (MD, NPI #1265432355) includes accredited doctoral training (2002, 24 yrs in practice) and virtual + in-office availability across TX.
Compared against Mount Pleasant, TX Orthopedic Surgery peers
12,212 annual services across 365 beneficiaries
Standard deviations from TX 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 | 495 | 50th | $35 – $50 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 372 | 52th | $37 – $52 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 261 | 48th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 151 | 46th | $50 – $68 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 96 | 55th | $321 – $440 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (101 HCPCS billing breadth) | 10,836 | 50th | $45 – $65 |
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Dr. Michael Pappas, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pappas National Provider Identifier | NPI #1265432355 (MD) | CMS NPPES Registry (75455) |
| Dr. Pappas Mount Pleasant CMS Volume Rank | 50.00th Pct (12,212 CMS svcs; Z +1.109σ) | CMS Medicare Part B (TX Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mount Pleasant, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.82/5 Listening • 4.56/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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