Dr. Michael Herzik, MD
12446 West Ave Ste 200, San Antonio, TX 78216 • +1-829-555-6821
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & San Antonio Percentiles
NPI #1801207873 • CBSA Regional • Internal Medicine
CMS Medicare Part B utilization records credit Dr. Michael Herzik (MD, NPI 1801207873) at 12446 West Ave Ste 200 in San Antonio with 1,243 annual clinical services (230 beneficiaries), corresponding to a -0.19σ regional deviation and mid-cohort balanced caseload (42.79th San Antonio percentile) with sub-specialty concentration in 7 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1801207873 highlights 559 annual claims for 99214 (42.79th San Antonio percentile; $159–$218 self-pay corridor) plus 323 encounters under 99213 and 162 under 93000.
Self-pay new patient consultations with Dr. Herzik (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 21-minute average reception wait, and a 4.52/5 modern protocol openness score across 25 patient logs.
NPI registry verification (#1801207873) confirms Dr. Michael Herzik's MD standing serving CBSA 78216 with a 4.94/5 patient scorecard.
Compared against San Antonio, TX Internal Medicine peers
1,243 annual services across 230 beneficiaries
Standard deviations from TX Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 559 | 42.79th | $159 – $218 |
| 99213 | Established Preventive & Chronic Care Visit | 323 | 46.79th | $122 – $167 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 162 | 46.79th | $58 – $80 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 124 | 47.79th | $187 – $256 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 75 | 41.79th | $222 – $304 |
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Dr. Michael Herzik, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Herzik National Provider Identifier | NPI #1801207873 (MD) | CMS NPPES Registry (78216) |
| Dr. Herzik San Antonio CMS Volume Rank | 42.79th Pct (1,243 CMS svcs; Z -0.193σ) | CMS Medicare Part B (TX Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (San Antonio, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.52/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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