Dr. Romel Velastegui, MD
6620 Coyle Ave Ste 102, Carmichael, CA 95608 • +1-608-555-1423
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Carmichael Percentiles
NPI #1457301608 • CBSA Regional • Vascular Surgery
Dr. Romel Velastegui, MD (NPI #1457301608) practices Vascular Surgery in Carmichael, CA (95608) with sub-specialty concentration in 70 Active CMS HCPCS Codes, recording 1,827 annual CMS services across 443 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (66.67th Carmichael percentile) (-0.22σ vs CA state mean, 55.25th statewide percentile).
Fee-schedule auditing of NPI 1457301608 highlights 822 annual claims for 99214 (66.67th Carmichael percentile; $374–$512 self-pay corridor) plus 475 encounters under 99213 and 238 under 93000.
Self-pay new patient consultations with Dr. Velastegui (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 10-minute average reception wait, and a 4.89/5 modern protocol openness score across 14 patient logs.
Patients evaluating Dr. Romel Velastegui in ZIP 95608 note 20 years of post-doctoral tenure (null, 2006) alongside 4.1 annual CMS procedures per patient.
Compared against Carmichael, CA Vascular Surgery peers
1,827 annual services across 443 beneficiaries
Standard deviations from CA Vascular 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 | 822 | 66.67th | $374 – $512 |
| 99213 | Established Preventive & Chronic Care Visit | 475 | 64.67th | $286 – $392 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 238 | 70.67th | $136 – $187 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 183 | 61.67th | $439 – $601 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 110 | 67.67th | $520 – $713 |
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Dr. Romel Velastegui, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Velastegui National Provider Identifier | NPI #1457301608 (MD) | CMS NPPES Registry (95608) |
| Dr. Velastegui Carmichael CMS Volume Rank | 66.67th Pct (1,827 CMS svcs; Z -0.217σ) | CMS Medicare Part B (CA Vascular Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Carmichael, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 10 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.95/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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