Dr. Richard Pleva, MD
5350 Distinction Way, Prescott, AZ 86301 • +1-878-555-3364
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Prescott Percentiles
NPI #1194700914 • CBSA Regional • Gastroenterology
Operating out of Prescott, AZ (5350 Distinction Way), Gastroenterology clinician Dr. Richard Pleva, MD (accredited MD/DO training, 2016) maintains a focused low-volume boutique caseload (33.33th Prescott percentile) (74.48th AZ percentile; Z-score -0.15σ across 1,902 documented services) with sub-specialty concentration in 46 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Richard Pleva (86301) place 99214 at the top of the practice ledger (704 yearly units, 33.33th metro rank), rounded out by 45380 and 43239.
Direct cash-pay transparency modeling sets Dr. Pleva's baseline new-consult rate near $207.00 in Prescott, AZ (cash-pay accepted, in-person clinic visits only, 13-minute average reception wait).
Clinical background for Dr. Pleva (MD, NPI #1194700914) includes accredited doctoral training (2016, 10 yrs in practice) and dedicated on-site consultations at 5350 Distinction Way.
Compared against Prescott, AZ Gastroenterology peers
1,902 annual services across 716 beneficiaries
Standard deviations from AZ Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 704 | 33.33th | $188 – $258 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 476 | 36.33th | $454 – $622 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 399 | 31.33th | $377 – $516 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 190 | 31.33th | $505 – $692 |
| 99204 | New Patient Digestive & Hepatology Consultation | 133 | 30.33th | $265 – $364 |
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Dr. Richard Pleva, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pleva National Provider Identifier | NPI #1194700914 (MD) | CMS NPPES Registry (86301) |
| Dr. Pleva Prescott CMS Volume Rank | 33.33th Pct (1,902 CMS svcs; Z -0.152σ) | CMS Medicare Part B (AZ Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $207.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Prescott, AZ) |
| Waiting-Room Wait Time & Cash Friendliness | $207.00 avg paid • 13 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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