Family Practice • Upland, CA 91786 • NPI #1205987914

Dr. Michael Benavidez, DO

984 W Foothill Blvd, Upland, CA 91786 • +1-214-555-3257

Medical Education: Accredited U.S. Medical School (Class of 2014)

30 Active CMS HCPCS Codes
4.61/5
Waiting-Room Score
16 patient logs
$239.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Upland Percentiles

NPI #1205987914 • CBSA Regional • Family Practice

Dr. Michael Benavidez DotMD Verification Badge

Dr. Michael Benavidez, DO (NPI #1205987914) practices Family Practice in Upland, CA (91786) with sub-specialty concentration in 30 Active CMS HCPCS Codes, recording 751 annual CMS services across 125 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (37.5th Upland percentile) (-0.09σ vs CA state mean, 11.97th statewide percentile).

Fee-schedule auditing of NPI 1205987914 highlights 193 annual claims for 99214 (37.5th Upland percentile; $91–$125 self-pay corridor) plus 142 encounters under 99213 and 55 under G0439.

Cash-pay intake data for NPI 1205987914 (984 W Foothill Blvd, Upland) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 22-minute average reception wait and 4.50/5 biomarker openness.

Credentialed as an DO specialist with 12 years post-graduation experience since completing medical school at an LCME/COCA institution (2014), Dr. Benavidez coordinates 30 Active CMS HCPCS Codes workups from 984 W Foothill Blvd (+1-214-555-3257).

Upland Percentile 37.50th

Compared against Upland, CA Family Practice peers

CA State Percentile 11.97th

751 annual services across 125 beneficiaries

Regional Volume Z-Score -0.088σ

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 193 37.5th $91 – $125
99213 Focused Acute & Preventive Primary Care Evaluation 142 37.5th $70 – $96
G0439 Annual Wellness Biomarker & Preventive Screening Visit 55 35.5th $105 – $144
36415 Routine Venipuncture Blood Biomarker Collection 41 42.5th $25 – $40
99204 New Patient Primary Care Intake & Diagnostic Plan 28 33.5th $125 – $172
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (30 HCPCS billing breadth) 292 37.5th $82 – $119
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Dr. Michael Benavidez, DO Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Benavidez National Provider Identifier NPI #1205987914 (DO) CMS NPPES Registry (91786)
Dr. Benavidez Upland CMS Volume Rank 37.50th Pct (751 CMS svcs; Z -0.088σ) CMS Medicare Part B (CA Family Practice)
Fair Cash-Pay New-Patient Benchmark $239.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Upland, CA)
Waiting-Room Wait Time & Cash Friendliness $239.00 avg paid • 22 min lobby wait 16 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.56/5 Listening • 4.50/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
22 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $239.00
Listens Without Rushing
4.56/5
Patient communication rating
Modern Protocol Openness
4.50/5
Preventive labs, GLP-1s & HRT
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