Dr. Victor Prieto, MD
900 Hyde St, 11th Floor St Francis Hosp, San Francisco, CA 94109 • +1-352-555-3883
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & San Francisco Percentiles
NPI #1275692873 • CBSA 41860 • Orthopedic Surgery
Statistical peer benchmarking across CA Orthopedic Surgery providers positions Dr. Victor Prieto, MD in San Francisco at -0.38σ (26.67th city percentile / 14.22th state percentile, 208 Medicare beneficiaries), with clinical focus spanning 61 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1275692873 highlights 347 annual claims for 99213 (26.67th San Francisco percentile; $145–$199 self-pay corridor) plus 260 encounters under 20610 and 183 under 73562.
Uninsured and high-deductible cash patients visiting Dr. Victor Prieto in San Francisco (94109) face an estimated $250.00 initial evaluation fee at 900 Hyde St, 11th Floor St Francis Hosp (hybrid in-clinic and telehealth video consults; 21-minute average reception wait; bedside manner 4.60/5 from 19 verified reports).
Credentialed as an MD specialist with 21 years post-graduation experience since completing medical school at an LCME/COCA institution (2005), Dr. Prieto coordinates 61 Active CMS HCPCS Codes workups from 900 Hyde St, 11th Floor St Francis Hosp (+1-352-555-3883).
Compared against San Francisco, CA Orthopedic Surgery peers
963 annual services across 208 beneficiaries
Standard deviations from CA Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 347 | 26.67th | $145 – $199 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 260 | 27.67th | $154 – $212 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 183 | 25.67th | $87 – $119 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 106 | 27.67th | $208 – $285 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 67 | 27.67th | $1339 – $1836 |
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Dr. Victor Prieto, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Prieto National Provider Identifier | NPI #1275692873 (MD) | CMS NPPES Registry (94109) |
| Dr. Prieto San Francisco CMS Volume Rank | 26.67th Pct (963 CMS svcs; Z -0.377σ) | CMS Medicare Part B (CA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $250.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (San Francisco, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $250.00 avg paid • 21 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.62/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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