Dr. Michael Armstrong, MD
8700 Stony Point Pkwy, Suite 110, Richmond, VA 23235 • +1-917-555-1034
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Richmond Percentiles
NPI #1174608053 • CBSA Regional • Otolaryngology
Statistical peer benchmarking across VA Otolaryngology providers positions Dr. Michael Armstrong, MD in Richmond at +0.19σ (84.62th city percentile / 84.14th state percentile, 854 Medicare beneficiaries), with clinical focus spanning 123 Active CMS HCPCS Codes.
Procedural volume for Dr. Armstrong is led by HCPCS 99213 (Focused Ear, Nose, Sinus & Throat Examination — 1434 annual services, $101–$138 GPCI cash estimate), followed by CPT 31231 (Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy, 1055/yr) and CPT 31575 (Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection, 802/yr).
Direct cash-pay transparency modeling sets Dr. Armstrong's baseline new-consult rate near $209.00 in Richmond, VA (cash-pay accepted, in-person clinic visits only, 13-minute average reception wait).
Spanning 28 years of clinical practice following 1998 graduation from medical training, Dr. Michael Armstrong integrates 123 Active CMS HCPCS Codes diagnostics for Richmond metro patients.
Compared against Richmond, VA Otolaryngology peers
4,219 annual services across 854 beneficiaries
Standard deviations from VA Otolaryngology 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 Ear, Nose, Sinus & Throat Examination | 1,434 | 84.62th | $101 – $138 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 1,055 | 85.62th | $202 – $277 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 802 | 83.62th | $148 – $202 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 548 | 84.62th | $71 – $97 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 380 | 87.62th | $63 – $87 |
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Dr. Michael Armstrong, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Armstrong National Provider Identifier | NPI #1174608053 (MD) | CMS NPPES Registry (23235) |
| Dr. Armstrong Richmond CMS Volume Rank | 84.62th Pct (4,219 CMS svcs; Z +0.188σ) | CMS Medicare Part B (VA Otolaryngology) |
| 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 • 13 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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