Dr. Michael Caplan, MD
125 Executive DR, Suite H, Danville, VA 24541 • +1-522-555-8759
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Danville Percentiles
NPI #1275572562 • CBSA Regional • Internal Medicine
Within the Danville, VA (CBSA local) Internal Medicine cohort, Dr. Michael Caplan, MD with sub-specialty concentration in 39 Active CMS HCPCS Codes ranks at the 16.67th municipal percentile and 16.05th VA percentile (-0.17σ Z-score) based on 818 billed procedures for 259 patients.
Granular CPT/HCPCS billing distribution at 125 Executive DR, Suite H shows Dr. Michael Caplan's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 368x/yr, 16.67th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 213x/yr, $45–$61).
Uninsured and high-deductible cash patients visiting Dr. Michael Caplan in Danville (24541) face an estimated $209.00 initial evaluation fee at 125 Executive DR, Suite H (hybrid in-clinic and telehealth video consults; 12-minute average reception wait; bedside manner 4.79/5 from 10 verified reports).
Clinical background for Dr. Caplan (MD, NPI #1275572562) includes accredited doctoral training (2017, 9 yrs in practice) and virtual + in-office availability across VA.
Compared against Danville, VA Internal Medicine peers
818 annual services across 259 beneficiaries
Standard deviations from VA 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 | 368 | 16.67th | $59 – $80 |
| 99213 | Established Preventive & Chronic Care Visit | 213 | 12th | $45 – $61 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 106 | 12th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 82 | 12.67th | $69 – $94 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 49 | 19.67th | $81 – $112 |
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Dr. Michael Caplan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Caplan National Provider Identifier | NPI #1275572562 (MD) | CMS NPPES Registry (24541) |
| Dr. Caplan Danville CMS Volume Rank | 16.67th Pct (818 CMS svcs; Z -0.172σ) | CMS Medicare Part B (VA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Danville, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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