Dr. Ricardo Brizuela, MD
600 Coffee Rd, Modesto, CA 95355 • +1-457-555-9450
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Modesto Percentiles
NPI #1174605224 • CBSA Regional • Internal Medicine
Dr. Ricardo Brizuela, MD (NPI #1174605224) practices Internal Medicine in Modesto, CA (95355) with sub-specialty concentration in 5 Active CMS HCPCS Codes, recording 856 annual CMS services across 348 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (28.57th Modesto percentile) (-0.10σ vs CA state mean, 19.34th statewide percentile).
Fee-schedule auditing of NPI 1174605224 highlights 385 annual claims for 99214 (28.57th Modesto percentile; $215–$295 self-pay corridor) plus 223 encounters under 99213 and 111 under 93000.
Self-pay new patient consultations with Dr. Brizuela (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 18-minute average reception wait, and a 4.91/5 modern protocol openness score across 8 patient logs.
NPI registry verification (#1174605224) confirms Dr. Ricardo Brizuela's MD standing serving CBSA 95355 with a 4.65/5 patient scorecard.
Compared against Modesto, CA Internal Medicine peers
856 annual services across 348 beneficiaries
Standard deviations from CA Internal Medicine 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 | 385 | 28.57th | $215 – $295 |
| 99213 | Established Preventive & Chronic Care Visit | 223 | 30.57th | $165 – $225 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 111 | 23.57th | $79 – $108 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 86 | 30.57th | $252 – $346 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 51 | 26.57th | $299 – $410 |
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Dr. Ricardo Brizuela, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Brizuela National Provider Identifier | NPI #1174605224 (MD) | CMS NPPES Registry (95355) |
| Dr. Brizuela Modesto CMS Volume Rank | 28.57th Pct (856 CMS svcs; Z -0.103σ) | CMS Medicare Part B (CA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Modesto, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 18 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.91/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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