Dr. Hernan Castro-Rueda, MD
26800 Crown Valley Pkwy, Suite 330, Mission Viejo, CA 92691 • +1-852-555-5093
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Mission Viejo Percentiles
NPI #1720162092 • CBSA Regional • Rheumatology
Operating out of Mission Viejo, CA (26800 Crown Valley Pkwy, Suite 330), Rheumatology clinician Dr. Hernan Castro-Rueda, MD (accredited MD/DO training, 1999) maintains a mid-cohort balanced caseload (60th Mission Viejo percentile) (37.18th CA percentile; Z-score -0.48σ across 2,654 documented services) with sub-specialty concentration in 29 Active CMS HCPCS Codes.
Procedural volume for Dr. Castro-Rueda is led by HCPCS 99214 (Autoimmune Arthritis & Biologic/DMARD Safety Evaluation — 487 annual services, $101–$138 GPCI cash estimate), followed by CPT 20610 (Large Joint Synovial Arthrocentesis or Corticosteroid Injection, 222/yr) and CPT 96413 (Intravenous Biologic Infusion Therapy (First Hour), 159/yr).
Cash-pay intake data for NPI 1720162092 (26800 Crown Valley Pkwy, Suite 330, Mission Viejo) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 11-minute average reception wait and 4.41/5 biomarker openness.
NPI registry verification (#1720162092) confirms Dr. Hernan Castro-Rueda's MD standing serving CBSA 92691 with a 4.58/5 patient scorecard.
Compared against Mission Viejo, CA Rheumatology peers
2,654 annual services across 368 beneficiaries
Standard deviations from CA Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 487 | 60th | $101 – $138 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 222 | 63th | $80 – $109 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 159 | 55th | $139 – $190 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 106 | 61th | $105 – $144 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 85 | 62th | $139 – $190 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (29 HCPCS billing breadth) | 1,595 | 60th | $87 – $126 |
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Dr. Hernan Castro-Rueda, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Castro-Rueda National Provider Identifier | NPI #1720162092 (MD) | CMS NPPES Registry (92691) |
| Dr. Castro-Rueda Mission Viejo CMS Volume Rank | 60.00th Pct (2,654 CMS svcs; Z -0.476σ) | CMS Medicare Part B (CA Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mission Viejo, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 11 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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