Dr. Paul Aguilera, MD
2000 Mowry Ave, Fremont, CA 94538 • +1-233-555-5280
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Fremont Percentiles
NPI #1023639804 • CBSA Regional • Internal Medicine
Dr. Paul Aguilera, MD (NPI #1023639804) practices Internal Medicine in Fremont, CA (94538) with sub-specialty concentration in 5 Active CMS HCPCS Codes, recording 1,296 annual CMS services across 433 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (48.65th Fremont percentile) (-0.09σ vs CA state mean, 43th statewide percentile).
Fee-schedule auditing of NPI 1023639804 highlights 583 annual claims for 99214 (48.65th Fremont percentile; $198–$271 self-pay corridor) plus 337 encounters under 99213 and 168 under 93000.
Cash-pay intake data for NPI 1023639804 (2000 Mowry Ave, Fremont) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 19-minute average reception wait and 4.71/5 biomarker openness.
NPI registry verification (#1023639804) confirms Dr. Paul Aguilera's MD standing serving CBSA 94538 with a 4.66/5 patient scorecard.
Compared against Fremont, CA Internal Medicine peers
1,296 annual services across 433 beneficiaries
Standard deviations from CA 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 | 583 | 48.65th | $198 – $271 |
| 99213 | Established Preventive & Chronic Care Visit | 337 | 50.65th | $151 – $207 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 168 | 53.65th | $72 – $99 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 130 | 53.65th | $232 – $318 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 78 | 50.65th | $275 – $377 |
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Dr. Paul Aguilera, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Aguilera National Provider Identifier | NPI #1023639804 (MD) | CMS NPPES Registry (94538) |
| Dr. Aguilera Fremont CMS Volume Rank | 48.65th Pct (1,296 CMS svcs; Z -0.090σ) | CMS Medicare Part B (CA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fremont, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 19 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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