Dr. Michael Higgins, MD
901 Enterprise Pkwy Ste 900, Hampton, VA 23666 • +1-772-555-9590
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Hampton Percentiles
NPI #1760460570 • CBSA Regional • Orthopedic Surgery
Within the Hampton, VA (CBSA local) Orthopedic Surgery cohort, Dr. Michael Higgins, MD with sub-specialty concentration in 54 Active CMS HCPCS Codes ranks at the 77.78th municipal percentile and 94.39th VA percentile (+1.89σ Z-score) based on 15,063 billed procedures for 1,005 patients.
Procedural volume for Dr. Higgins is led by HCPCS 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation — 1070 annual services, $41–$56 GPCI cash estimate), followed by CPT 20610 (Major Joint (Knee/Shoulder/Hip) Aspiration or Injection, 802/yr) and CPT 73562 (Radiologic Weight-Bearing 3-View Knee Examination, 564/yr).
For out-of-network patients contacting +1-772-555-9590, Dr. Higgins's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.93/5 composite reality score over 4 submissions).
Credentialed as an MD specialist with 27 years post-graduation experience since completing medical school at an LCME/COCA institution (1999), Dr. Higgins coordinates 54 Active CMS HCPCS Codes workups from 901 Enterprise Pkwy Ste 900 (+1-772-555-9590).
Compared against Hampton, VA Orthopedic Surgery peers
15,063 annual services across 1,005 beneficiaries
Standard deviations from VA 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 | 1,070 | 77.78th | $41 – $56 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 802 | 74.78th | $44 – $60 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 564 | 76.78th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 327 | 75.78th | $59 – $80 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 208 | 77.78th | $378 – $518 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (54 HCPCS billing breadth) | 12,092 | 77.78th | $46 – $67 |
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Dr. Michael Higgins, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Higgins National Provider Identifier | NPI #1760460570 (MD) | CMS NPPES Registry (23666) |
| Dr. Higgins Hampton CMS Volume Rank | 77.78th Pct (15,063 CMS svcs; Z +1.894σ) | CMS Medicare Part B (VA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Hampton, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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