Dr. Mackenzie Higgins, MD
400 Westhampton Sta, Richmond, VA 23226 • +1-670-555-3664
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Richmond Percentiles
NPI #1568966240 • CBSA Regional • Ophthalmology
Dr. Mackenzie Higgins, MD (NPI #1568966240) practices Ophthalmology in Richmond, VA (23226) with sub-specialty concentration in 45 Active CMS HCPCS Codes, recording 1,809 annual CMS services across 573 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (3.03th Richmond percentile) (-0.47σ vs VA state mean, 18.9th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Higgins (averaging 3.2 services per beneficiary), 92014 (Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam) represents 37% of tracked volume (669 encounters), paired with 92134 (470x).
Direct cash-pay transparency modeling sets Dr. Higgins's baseline new-consult rate near $209.00 in Richmond, VA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 11-minute average reception wait).
Patients evaluating Dr. Mackenzie Higgins in ZIP 23226 note 9 years of post-doctoral tenure (null, 2017) alongside 3.2 annual CMS procedures per patient.
Compared against Richmond, VA Ophthalmology peers
1,809 annual services across 573 beneficiaries
Standard deviations from VA Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 669 | 12th | $212 – $291 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 470 | 12th | $117 – $160 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 308 | 12th | $140 – $192 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 217 | 12th | $256 – $350 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 145 | 12th | $936 – $1282 |
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Dr. Mackenzie Higgins, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Higgins National Provider Identifier | NPI #1568966240 (MD) | CMS NPPES Registry (23226) |
| Dr. Higgins Richmond CMS Volume Rank | 3.03th Pct (1,809 CMS svcs; Z -0.465σ) | CMS Medicare Part B (VA Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Richmond, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.76/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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