Dr. Michael Nieto, MD
280 S Main St Ste 200, Orange, CA 92868 • +1-733-555-9786
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Orange Percentiles
NPI #1861848947 • CBSA Regional • Pediatric Medicine
Operating out of Orange, CA (280 S Main St Ste 200), Pediatric Medicine clinician Dr. Michael Nieto, MD (accredited MD/DO training, 2004) maintains a mid-cohort balanced caseload (50th Orange percentile) (97.5th CA percentile; Z-score +5.33σ across 34,032 documented services) with sub-specialty concentration in 78 Active CMS HCPCS Codes.
Procedural volume for Dr. Nieto is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 1890 annual services, $50–$68 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 1092/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 546/yr).
Uninsured and high-deductible cash patients visiting Dr. Michael Nieto in Orange (92868) face an estimated $239.00 initial evaluation fee at 280 S Main St Ste 200 (in-person clinic visits only; 16-minute average reception wait; bedside manner 4.83/5 from 18 verified reports).
Credentialed as an MD specialist with 22 years post-graduation experience since completing medical school at an LCME/COCA institution (2004), Dr. Nieto coordinates 78 Active CMS HCPCS Codes workups from 280 S Main St Ste 200 (+1-733-555-9786).
Compared against Orange, CA Pediatric Medicine peers
34,032 annual services across 793 beneficiaries
Standard deviations from CA Pediatric 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 | 1,890 | 50th | $50 – $68 |
| 99213 | Established Preventive & Chronic Care Visit | 1,092 | 51th | $38 – $53 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 546 | 53th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 420 | 47th | $58 – $80 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 252 | 46th | $69 – $94 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (78 HCPCS billing breadth) | 29,833 | 50th | $45 – $65 |
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Dr. Michael Nieto, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nieto National Provider Identifier | NPI #1861848947 (MD) | CMS NPPES Registry (92868) |
| Dr. Nieto Orange CMS Volume Rank | 50.00th Pct (34,032 CMS svcs; Z +5.330σ) | CMS Medicare Part B (CA Pediatric Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Orange, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 16 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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