Dr. Andrew Mihalek, MD
1221 Lee St, Charlottesville, VA 22908 • +1-300-555-5475
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Charlottesville Percentiles
NPI #1851555601 • CBSA Regional • Pulmonary Disease
Within the Charlottesville, VA (CBSA local) Pulmonary Disease cohort, Dr. Andrew Mihalek, MD with sub-specialty concentration in 42 Active CMS HCPCS Codes ranks at the 35.71th municipal percentile and 17.47th VA percentile (-0.38σ Z-score) based on 879 billed procedures for 329 patients.
Fee-schedule auditing of NPI 1851555601 highlights 360 annual claims for 99214 (35.71th Charlottesville percentile; $144–$198 self-pay corridor) plus 202 encounters under 94060 and 149 under 94729.
Cash-pay intake data for NPI 1851555601 (1221 Lee St, Charlottesville) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 10-minute average reception wait and 4.68/5 biomarker openness.
NPI registry verification (#1851555601) confirms Dr. Andrew Mihalek's MD standing serving CBSA 22908 with a 4.77/5 patient scorecard.
Compared against Charlottesville, VA Pulmonary Disease peers
879 annual services across 329 beneficiaries
Standard deviations from VA 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 | 360 | 35.71th | $144 – $198 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 202 | 31.71th | $94 – $129 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 149 | 33.71th | $85 – $117 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 97 | 32.71th | $263 – $361 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 70 | 35.71th | $203 – $278 |
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Dr. Andrew Mihalek, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mihalek National Provider Identifier | NPI #1851555601 (MD) | CMS NPPES Registry (22908) |
| Dr. Mihalek Charlottesville CMS Volume Rank | 35.71th Pct (879 CMS svcs; Z -0.375σ) | CMS Medicare Part B (VA Pulmonary Disease) |
| 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 • 10 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.65/5 Listening • 4.68/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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