Dr. Luis Pineda, MD
1509 6th Ave S, Birmingham, AL 35233 • +1-571-555-9547
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Birmingham Percentiles
NPI #1538125695 • CBSA Regional • Hematology-Oncology
Dr. Luis Pineda, MD (NPI #1538125695) practices Hematology-Oncology in Birmingham, AL (35233) with sub-specialty concentration in 52 Active CMS HCPCS Codes, recording 1,449 annual CMS services across 65 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (13.33th Birmingham percentile) (-1.13σ vs AL state mean, 9.84th statewide percentile).
Granular CPT/HCPCS billing distribution at 1509 6th Ave S shows Dr. Luis Pineda's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 359x/yr, 13.33th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 207x/yr, $35–$50).
Cash-pay intake data for NPI 1538125695 (1509 6th Ave S, Birmingham) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 12-minute average reception wait and 4.66/5 biomarker openness.
Patients evaluating Dr. Luis Pineda in ZIP 35233 note 33 years of post-doctoral tenure (null, 1993) alongside 22.3 annual CMS procedures per patient.
Compared against Birmingham, AL Hematology-Oncology peers
1,449 annual services across 65 beneficiaries
Standard deviations from AL Hematology-Oncology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 359 | 13.33th | $45 – $62 |
| 99213 | Established Preventive & Chronic Care Visit | 207 | 12.33th | $35 – $50 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 104 | 18.33th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 80 | 18.33th | $53 – $73 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 48 | 15.33th | $63 – $86 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (52 HCPCS billing breadth) | 652 | 13.33th | $45 – $65 |
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Dr. Luis Pineda, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pineda National Provider Identifier | NPI #1538125695 (MD) | CMS NPPES Registry (35233) |
| Dr. Pineda Birmingham CMS Volume Rank | 13.33th Pct (1,449 CMS svcs; Z -1.127σ) | CMS Medicare Part B (AL Hematology-Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Birmingham, AL) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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