Dr. Douglas Midcap, DO
1000 National Rd, Wheeling, WV 26003 • +1-244-555-6707
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Wheeling Percentiles
NPI #1992701197 • CBSA Regional • Family Practice
Statistical peer benchmarking across WV Family Practice providers positions Dr. Douglas Midcap, DO in Wheeling at -0.29σ (27.78th city percentile / 36.65th state percentile, 275 Medicare beneficiaries), with clinical focus spanning 27 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1992701197 highlights 415 annual claims for 99214 (27.78th Wheeling percentile; $114–$156 self-pay corridor) plus 307 encounters under 99213 and 119 under G0439.
Self-pay new patient consultations with Dr. Midcap (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 15-minute average reception wait, and a 4.70/5 modern protocol openness score across 21 patient logs.
From 1000 National Rd in Wheeling (+1-244-555-6707), Dr. Midcap, DO (34-year clinical track record) delivers 27 Active CMS HCPCS Codes care.
Compared against Wheeling, WV Family Practice peers
989 annual services across 275 beneficiaries
Standard deviations from WV Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 415 | 27.78th | $114 – $156 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 307 | 32.78th | $87 – $119 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 119 | 24.78th | $131 – $179 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 89 | 30.78th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 59 | 29.78th | $156 – $214 |
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Dr. Douglas Midcap, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Midcap National Provider Identifier | NPI #1992701197 (DO) | CMS NPPES Registry (26003) |
| Dr. Midcap Wheeling CMS Volume Rank | 27.78th Pct (989 CMS svcs; Z -0.288σ) | CMS Medicare Part B (WV Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Wheeling, WV) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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