Dr. Frank Raia, MD
3591 S Mercy Rd Ste 204, Gilbert, AZ 85297 • +1-763-555-3187
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Gilbert Percentiles
NPI #1043411416 • CBSA Regional • Hand Surgery
CMS Medicare Part B utilization records credit Dr. Frank Raia (MD, NPI 1043411416) at 3591 S Mercy Rd Ste 204 in Gilbert with 3,925 annual clinical services (545 beneficiaries), corresponding to a -0.21σ regional deviation and mid-cohort balanced caseload (60th Gilbert percentile) with sub-specialty concentration in 39 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Raia (averaging 7.2 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 23% of tracked volume (884 encounters), paired with 99213 (511x).
Self-pay new patient consultations with Dr. Raia (CPT 99204 GPCI-adjusted benchmark) estimate around $207.00 (community reported average: $207.00) with hybrid in-clinic and telehealth video consults, 17-minute average reception wait, and a 4.85/5 modern protocol openness score across 23 patient logs.
From 3591 S Mercy Rd Ste 204 in Gilbert (+1-763-555-3187), Dr. Raia, MD (17-year clinical track record) delivers 39 Active CMS HCPCS Codes care.
Compared against Gilbert, AZ Hand Surgery peers
3,925 annual services across 545 beneficiaries
Standard deviations from AZ Hand Surgery 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 | 884 | 60th | $72 – $98 |
| 99213 | Established Preventive & Chronic Care Visit | 511 | 57th | $55 – $75 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 255 | 56th | $26 – $41 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 197 | 58th | $84 – $115 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 118 | 60th | $100 – $137 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (39 HCPCS billing breadth) | 1,960 | 60th | $65 – $94 |
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Dr. Frank Raia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Raia National Provider Identifier | NPI #1043411416 (MD) | CMS NPPES Registry (85297) |
| Dr. Raia Gilbert CMS Volume Rank | 60.00th Pct (3,925 CMS svcs; Z -0.214σ) | CMS Medicare Part B (AZ Hand Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $207.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Gilbert, AZ) |
| Waiting-Room Wait Time & Cash Friendliness | $207.00 avg paid • 17 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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