Dr. Larry Guinto, MD
1630 E Herndon Ave, Fresno, CA 93720 • +1-227-555-7458
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Fresno Percentiles
NPI #1497109144 • CBSA Regional • Physical Medicine and Rehabilitation
CMS Medicare Part B utilization records credit Dr. Larry Guinto (MD, NPI 1497109144) at 1630 E Herndon Ave in Fresno with 3,659 annual clinical services (720 beneficiaries), corresponding to a -0.16σ regional deviation and mid-cohort balanced caseload (40th Fresno percentile) with sub-specialty concentration in 66 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1497109144 highlights 1350 annual claims for 99214 (40th Fresno percentile; $167–$229 self-pay corridor) plus 780 encounters under 99213 and 390 under 93000.
Cash-pay intake data for NPI 1497109144 (1630 E Herndon Ave, Fresno) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 9-minute average reception wait and 4.67/5 biomarker openness.
Patients evaluating Dr. Larry Guinto in ZIP 93720 note 18 years of post-doctoral tenure (null, 2008) alongside 5.1 annual CMS procedures per patient.
Compared against Fresno, CA Physical Medicine and Rehabilitation peers
3,659 annual services across 720 beneficiaries
Standard deviations from CA Physical Medicine and Rehabilitation 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 | 1,350 | 40th | $167 – $229 |
| 99213 | Established Preventive & Chronic Care Visit | 780 | 38th | $128 – $175 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 390 | 41th | $61 – $84 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 300 | 36th | $196 – $269 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 180 | 39th | $233 – $319 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (66 HCPCS billing breadth) | 658 | 40th | $151 – $219 |
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Dr. Larry Guinto, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Guinto National Provider Identifier | NPI #1497109144 (MD) | CMS NPPES Registry (93720) |
| Dr. Guinto Fresno CMS Volume Rank | 40.00th Pct (3,659 CMS svcs; Z -0.163σ) | CMS Medicare Part B (CA Physical Medicine and Rehabilitation) |
| 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 • 9 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.67/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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