Dr. Matthew Gembala, MD
2201 N Vickey St Ste 110, Flagstaff, AZ 86004 • +1-265-555-6735
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Flagstaff Percentiles
NPI #1114950185 • CBSA Regional • Nephrology
Operating out of Flagstaff, AZ (2201 N Vickey St Ste 110), Nephrology clinician Dr. Matthew Gembala, MD (accredited MD/DO training, 2017) maintains a focused low-volume boutique caseload (0th Flagstaff percentile) (20.97th AZ percentile; Z-score -0.21σ across 1,257 documented services) with sub-specialty concentration in 16 Active CMS HCPCS Codes.
Among 4 tracked CMS fee-schedule codes for Dr. Gembala (averaging 2.9 services per beneficiary), 99214 (Chronic Kidney Disease eGFR, uACR & Electrolyte Management) represents 48% of tracked volume (603 encounters), paired with 90960 (277x).
Cash-pay intake data for NPI 1114950185 (2201 N Vickey St Ste 110, Flagstaff) indicates $207.00 typical out-of-pocket visit spend against a $207.00 locality benchmark, paired with 12-minute average reception wait and 4.82/5 biomarker openness.
Credentialed as an MD specialist with 9 years post-graduation experience since completing medical school at an LCME/COCA institution (2017), Dr. Gembala coordinates 16 Active CMS HCPCS Codes workups from 2201 N Vickey St Ste 110 (+1-265-555-6735).
Compared against Flagstaff, AZ Nephrology peers
1,257 annual services across 441 beneficiaries
Standard deviations from AZ Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 603 | 12th | $206 – $283 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 277 | 12th | $413 – $566 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 226 | 12th | $301 – $413 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 151 | 12th | $284 – $389 |
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Dr. Matthew Gembala, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gembala National Provider Identifier | NPI #1114950185 (MD) | CMS NPPES Registry (86004) |
| Dr. Gembala Flagstaff CMS Volume Rank | 0.00th Pct (1,257 CMS svcs; Z -0.210σ) | CMS Medicare Part B (AZ Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $207.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Flagstaff, AZ) |
| Waiting-Room Wait Time & Cash Friendliness | $207.00 avg paid • 12 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.82/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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