Dr. Mihaela Cosma, MD
105 W 8th Ave Ste 7010, Spokane, WA 99204 • +1-846-555-1198
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Spokane Percentiles
NPI #1215915103 • CBSA Regional • Endocrinology
CMS Medicare Part B utilization records credit Dr. Mihaela Cosma (MD, NPI 1215915103) at 105 W 8th Ave Ste 7010 in Spokane with 1,300 annual clinical services (325 beneficiaries), corresponding to a -0.43σ regional deviation and mid-cohort balanced caseload (40th Spokane percentile) with sub-specialty concentration in 15 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Cosma (averaging 4.0 services per beneficiary), 99214 (Complex Endocrine, Thyroid & Metabolic Biomarker Management) represents 44% of tracked volume (572 encounters), paired with 95251 (286x).
Uninsured and high-deductible cash patients visiting Dr. Mihaela Cosma in Spokane (99204) face an estimated $222.00 initial evaluation fee at 105 W 8th Ave Ste 7010 (hybrid in-clinic and telehealth video consults; 16-minute average reception wait; bedside manner 4.59/5 from 14 verified reports).
From 105 W 8th Ave Ste 7010 in Spokane (+1-846-555-1198), Dr. Cosma, MD (17-year clinical track record) delivers 15 Active CMS HCPCS Codes care.
Compared against Spokane, WA Endocrinology peers
1,300 annual services across 325 beneficiaries
Standard deviations from WA Endocrinology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Complex Endocrine, Thyroid & Metabolic Biomarker Management | 572 | 40th | $103 – $141 |
| 95251 | Ambulatory Continuous Glucose Monitoring (CGM) Data Analysis | 286 | 42th | $64 – $88 |
| 76536 | High-Resolution Thyroid & Parathyroid Neck Ultrasound | 208 | 37th | $124 – $170 |
| 99204 | Comprehensive New Patient Endocrine & Hormone Workup | 156 | 38th | $141 – $194 |
| 99215 | High-Complexity Multi-Hormone & Insulin Pump Titration | 78 | 36th | $158 – $217 |
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Dr. Mihaela Cosma, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cosma National Provider Identifier | NPI #1215915103 (MD) | CMS NPPES Registry (99204) |
| Dr. Cosma Spokane CMS Volume Rank | 40.00th Pct (1,300 CMS svcs; Z -0.433σ) | CMS Medicare Part B (WA Endocrinology) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Spokane, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 16 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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