7064 Wilshire Blvd, Suite 348, Los Angeles, CA 90029 • (770) 332-7036
Medical Education: Vanderbilt University School of Medicine (Class of 1998)
NPI #1609108177 • CBSA 31080 • Psychiatry & Neuropharmacology
Trained at Vanderbilt University School of Medicine (Class of 1998), Dr. Adrian Castellano, MD (NPI #1609108177) practices Psychiatry & Neuropharmacology in Los Angeles, CA (90029) with sub-specialty concentration in Treatment-Resistant Anhedonia & Glutamatergic Protocols and Autonomic Performance Anxiety & Somatic Beta-Blockade, recording 2,413 annual CMS services across 893 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (66.67th Los Angeles percentile) (+0.52σ vs CA state mean, 66.67th statewide percentile).
Dr. Castellano's longitudinal care intensity (2.7 billed units per patient across 893 individuals) centers on 90867 (560 annual units) and 99214 ($185–$253 cash range).
Direct cash-pay transparency modeling sets Dr. Castellano's baseline new-consult rate near $231.00 in Los Angeles, CA (insurance referral required, hybrid in-clinic and telehealth video consults, 21-minute average reception wait).
Spanning 28 years of clinical practice following 1998 graduation from Vanderbilt University School of Medicine, Dr. Adrian Castellano integrates Treatment-Resistant Anhedonia & Glutamatergic Protocols diagnostics for Los Angeles metro patients.
Compared against Los Angeles, CA Psychiatry & Neuropharmacology peers
2,413 annual services across 893 beneficiaries
Standard deviations from CA Psychiatry & Neuropharmacology mean utilization
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 90867 | Repetitive Transcranial Magnetic Stimulation (rTMS) Cortical Motor Threshold Mapping | 560 | 60th | $365 – $500 |
| 99214 | Pharmacologic Management & Side-Effect Biomarker Review (30–39 min) | 550 | 50th | $185 – $253 |
| 90792 | Comprehensive Psychiatric Diagnostic & Neuropharmacologic Evaluation | 460 | 50th | $307 – $421 |
| 96127 | Standardized PHQ-9, GAD-7 & Insomnia Severity Index Longitudinal Scoring | 371 | 25th | $21 – $29 |
| 95806 | Unattended Home Sleep Apnea & Nocturnal Oximetry Architecture Study | 281 | 60th | $204 – $279 |
| 90868 | Dorsolateral Prefrontal rTMS Neuromodulation Delivery Session | 191 | 20th | $283 – $388 |
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| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Castellano National Provider Identifier | NPI #1609108177 (MD) | CMS NPPES Registry (90029) |
| Dr. Castellano Los Angeles CMS Volume Rank | 66.67th Pct (2,413 CMS svcs; Z +0.517σ) | CMS Medicare Part B (CA Psychiatry & Neuropharmacology) |
| Fair Cash-Pay New-Patient Benchmark | $231.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Los Angeles, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $231.00 avg paid • 21 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.41/5 Modern Labs | Vanderbilt University School of Medicine Practice Cohort |
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Paid $217 out-of-pocket for my initial Psychiatry & Neuropharmacology workup with Dr. Adrian Castellano in Los Angeles (90029); reception checked me in within 19 minutes.
Switched to cash pay ($243) at 7064 Wilshire Blvd, Suite 348 with Dr. Castellano; 24-minute wait and modern Treatment-Resistant Anhedonia & Glutamatergic Protocols / Autonomic Performance Anxiety & Somatic Beta-Blockade protocol openness.
