Dr. Ricardo Avena, MD
2139 E Beechwood Ave, Fresno, CA 93720 • +1-227-555-1573
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Fresno Percentiles
NPI #1114903648 • CBSA Regional • Hand Surgery
Operating out of Fresno, CA (2139 E Beechwood Ave), Hand Surgery clinician Dr. Ricardo Avena, MD (accredited MD/DO training, 2007) maintains a top-decile high-throughput specialist (99th percentile in Fresno) (16.83th CA percentile; Z-score -0.74σ across 1,004 documented services) with sub-specialty concentration in 85 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1114903648 highlights 414 annual claims for 99214 (99th Fresno percentile; $265–$363 self-pay corridor) plus 239 encounters under 99213 and 120 under 93000.
Self-pay new patient consultations with Dr. Avena (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with in-person clinic visits only, 14-minute average reception wait, and a 4.78/5 modern protocol openness score across 6 patient logs.
Credentialed as an MD specialist with 19 years post-graduation experience since completing medical school at an LCME/COCA institution (2007), Dr. Avena coordinates 85 Active CMS HCPCS Codes workups from 2139 E Beechwood Ave (+1-227-555-1573).
Top 10% Hand Surgery volume leader in Fresno, CA
1,004 annual services across 238 beneficiaries
Standard deviations from CA 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 | 414 | 99th | $265 – $363 |
| 99213 | Established Preventive & Chronic Care Visit | 239 | 99.5th | $203 – $278 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 120 | 94th | $97 – $133 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 92 | 99th | $311 – $427 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 55 | 95th | $369 – $506 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (85 HCPCS billing breadth) | 84 | 99th | $239 – $347 |
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Dr. Ricardo Avena, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Avena National Provider Identifier | NPI #1114903648 (MD) | CMS NPPES Registry (93720) |
| Dr. Avena Fresno CMS Volume Rank | 99.00th Pct (1,004 CMS svcs; Z -0.744σ) | CMS Medicare Part B (CA Hand Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fresno, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 14 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.85/5 Listening • 4.78/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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