Dr. Pneuma Ortega, MD
2820 Alum Rock Ave Ste 20, San Jose, CA 95127 • +1-379-555-4167
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & San Jose Percentiles
NPI #1912167834 • CBSA Regional • Family Practice
Within the San Jose, CA (CBSA local) Family Practice cohort, Dr. Pneuma Ortega, MD with sub-specialty concentration in 23 Active CMS HCPCS Codes ranks at the 23.81th municipal percentile and 20.73th CA percentile (-0.09σ Z-score) based on 848 billed procedures for 354 patients.
Fee-schedule auditing of NPI 1912167834 highlights 356 annual claims for 99214 (23.81th San Jose percentile; $172–$236 self-pay corridor) plus 263 encounters under 99213 and 102 under G0439.
Self-pay new patient consultations with Dr. Ortega (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with in-person clinic visits only, 16-minute average reception wait, and a 4.44/5 modern protocol openness score across 24 patient logs.
Patients evaluating Dr. Pneuma Ortega in ZIP 95127 note 10 years of post-doctoral tenure (null, 2016) alongside 2.4 annual CMS procedures per patient.
Compared against San Jose, CA Family Practice peers
848 annual services across 354 beneficiaries
Standard deviations from CA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 356 | 23.81th | $172 – $236 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 263 | 27.81th | $132 – $181 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 102 | 26.81th | $198 – $271 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 76 | 26.81th | $37 – $52 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 51 | 24.81th | $237 – $325 |
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Dr. Pneuma Ortega, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ortega National Provider Identifier | NPI #1912167834 (MD) | CMS NPPES Registry (95127) |
| Dr. Ortega San Jose CMS Volume Rank | 23.81th Pct (848 CMS svcs; Z -0.085σ) | CMS Medicare Part B (CA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (San Jose, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 16 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.44/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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