Dr. Karla Puente-Shultz, MD
7400 E Osborn Rd, Scottsdale, AZ 85251 • +1-490-555-7218
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Scottsdale Percentiles
NPI #1922094309 • CBSA 38060 • Internal Medicine
Operating out of Scottsdale, AZ (7400 E Osborn Rd), Internal Medicine clinician Dr. Karla Puente-Shultz, MD (accredited MD/DO training, 1996) maintains a mid-cohort balanced caseload (37.96th Scottsdale percentile) (43.45th AZ percentile; Z-score -0.19σ across 1,177 documented services) with sub-specialty concentration in 9 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1922094309 highlights 530 annual claims for 99214 (37.96th Scottsdale percentile; $191–$262 self-pay corridor) plus 306 encounters under 99213 and 153 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Karla Puente-Shultz in Scottsdale (85251) face an estimated $210.00 initial evaluation fee at 7400 E Osborn Rd (hybrid in-clinic and telehealth video consults; 21-minute average reception wait; bedside manner 4.65/5 from 13 verified reports).
NPI registry verification (#1922094309) confirms Dr. Karla Puente-Shultz's MD standing serving CBSA 38060 with a 4.86/5 patient scorecard.
Compared against Scottsdale, AZ Internal Medicine peers
1,177 annual services across 689 beneficiaries
Standard deviations from AZ Internal Medicine 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 | 530 | 37.96th | $191 – $262 |
| 99213 | Established Preventive & Chronic Care Visit | 306 | 34.96th | $146 – $201 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 153 | 38.96th | $70 – $96 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 118 | 35.96th | $225 – $308 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 71 | 37.96th | $266 – $365 |
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Dr. Karla Puente-Shultz, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Puente-Shultz National Provider Identifier | NPI #1922094309 (MD) | CMS NPPES Registry (85251) |
| Dr. Puente-Shultz Scottsdale CMS Volume Rank | 37.96th Pct (1,177 CMS svcs; Z -0.187σ) | CMS Medicare Part B (AZ Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $210.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Scottsdale, AZ) |
| Waiting-Room Wait Time & Cash Friendliness | $210.00 avg paid • 21 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.65/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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