Dr. Rafael Rubalcava, MD
15034 Imperial Hwy, LA Mirada, CA 90638 • +1-786-555-1041
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & LA Mirada Percentiles
NPI #1417978644 • CBSA Regional • Family Practice
Within the LA Mirada, CA (CBSA local) Family Practice cohort, Dr. Rafael Rubalcava, MD with sub-specialty concentration in 39 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 17.48th CA percentile (-0.09σ Z-score) based on 811 billed procedures for 106 patients.
Among 6 tracked CMS fee-schedule codes for Dr. Rubalcava (averaging 7.7 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 23% of tracked volume (185 encounters), paired with 99213 (136x).
Self-pay new patient consultations with Dr. Rubalcava (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 16-minute average reception wait, and a 4.41/5 modern protocol openness score across 20 patient logs.
Patients evaluating Dr. Rafael Rubalcava in ZIP 90638 note 26 years of post-doctoral tenure (null, 2000) alongside 7.7 annual CMS procedures per patient.
Compared against LA Mirada, CA Family Practice peers
811 annual services across 106 beneficiaries
Standard deviations from CA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 185 | 12th | $73 – $101 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 136 | 12th | $56 – $77 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 53 | 12th | $84 – $115 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 40 | 12th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 26 | 12th | $101 – $138 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (39 HCPCS billing breadth) | 371 | 0th | $66 – $96 |
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Dr. Rafael Rubalcava, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rubalcava National Provider Identifier | NPI #1417978644 (MD) | CMS NPPES Registry (90638) |
| Dr. Rubalcava LA Mirada CMS Volume Rank | 0.00th Pct (811 CMS svcs; Z -0.086σ) | CMS Medicare Part B (CA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (LA Mirada, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 16 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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