Dr. Richard Merkel, MD
1300 Jefferson Park Ave, Charlottesville, VA 22903 • +1-325-555-6905
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Charlottesville Percentiles
NPI #1871638833 • CBSA Regional • Psychiatry
CMS Medicare Part B utilization records credit Dr. Richard Merkel (MD, NPI 1871638833) at 1300 Jefferson Park Ave in Charlottesville with 819 annual clinical services (133 beneficiaries), corresponding to a -0.49σ regional deviation and mid-cohort balanced caseload (42.86th Charlottesville percentile) with sub-specialty concentration in 18 Active CMS HCPCS Codes.
Procedural volume for Dr. Merkel is led by HCPCS 99214 (Psychopharmacology Medication & Symptom Titration Visit — 360 annual services, $107–$146 GPCI cash estimate), followed by CPT 90833 (Add-On Focused Psychotherapy w/ Medical Evaluation (30 min), 229/yr) and CPT 99213 (Established Behavioral Health Maintenance Follow-Up, 131/yr).
Self-pay new patient consultations with Dr. Merkel (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 15-minute average reception wait, and a 4.69/5 modern protocol openness score across 7 patient logs.
Credentialed as an MD specialist with 27 years post-graduation experience since completing medical school at an LCME/COCA institution (1999), Dr. Merkel coordinates 18 Active CMS HCPCS Codes workups from 1300 Jefferson Park Ave (+1-325-555-6905).
Compared against Charlottesville, VA Psychiatry peers
819 annual services across 133 beneficiaries
Standard deviations from VA Psychiatry mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Psychopharmacology Medication & Symptom Titration Visit | 360 | 42.86th | $107 – $146 |
| 90833 | Add-On Focused Psychotherapy w/ Medical Evaluation (30 min) | 229 | 41.86th | $77 – $105 |
| 99213 | Established Behavioral Health Maintenance Follow-Up | 131 | 44.86th | $81 – $111 |
| 90792 | Comprehensive Psychiatric Diagnostic & Medical Evaluation | 98 | 38.86th | $167 – $229 |
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Dr. Richard Merkel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Merkel National Provider Identifier | NPI #1871638833 (MD) | CMS NPPES Registry (22903) |
| Dr. Merkel Charlottesville CMS Volume Rank | 42.86th Pct (819 CMS svcs; Z -0.492σ) | CMS Medicare Part B (VA Psychiatry) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Charlottesville, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.69/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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