Dr. Richard Lafayette, MD
300 Pasteur DR, Stanford, CA 94305 • +1-710-555-6222
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Stanford Percentiles
NPI #1922141951 • CBSA Regional • Nephrology
Statistical peer benchmarking across CA Nephrology providers positions Dr. Richard Lafayette, MD in Stanford at -0.46σ (25th city percentile / 4.43th state percentile, 233 Medicare beneficiaries), with clinical focus spanning 24 Active CMS HCPCS Codes.
Procedural volume for Dr. Lafayette is led by HCPCS 99214 (Chronic Kidney Disease eGFR, uACR & Electrolyte Management — 378 annual services, $292–$400 GPCI cash estimate), followed by CPT 90960 (Monthly Adult ESRD Renal Replacement Oversight, 173/yr) and CPT 99215 (High-Complexity Cardiorenal & Resistant Hypertension Visit, 142/yr).
Self-pay new patient consultations with Dr. Lafayette (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 19-minute average reception wait, and a 4.71/5 modern protocol openness score across 17 patient logs.
NPI registry verification (#1922141951) confirms Dr. Richard Lafayette's MD standing serving CBSA 94305 with a 4.94/5 patient scorecard.
Compared against Stanford, CA Nephrology peers
787 annual services across 233 beneficiaries
Standard deviations from CA Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 378 | 25th | $292 – $400 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 173 | 27th | $583 – $799 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 142 | 20th | $425 – $583 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 94 | 30th | $401 – $550 |
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Dr. Richard Lafayette, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lafayette National Provider Identifier | NPI #1922141951 (MD) | CMS NPPES Registry (94305) |
| Dr. Lafayette Stanford CMS Volume Rank | 25.00th Pct (787 CMS svcs; Z -0.455σ) | CMS Medicare Part B (CA Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Stanford, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 19 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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