Dr. Niceto Lopez, MD
801 Ygnacio Valley Rd, Suite 250, Walnut Creek, CA 94596 • +1-830-555-5537
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Walnut Creek Percentiles
NPI #1003012931 • CBSA Regional • Internal Medicine
Operating out of Walnut Creek, CA (801 Ygnacio Valley Rd, Suite 250), Internal Medicine clinician Dr. Niceto Lopez, MD (accredited MD/DO training, 2014) maintains a top-decile high-throughput specialist (92.98th percentile in Walnut Creek) (88.15th CA percentile; Z-score +0.04σ across 5,874 documented services) with sub-specialty concentration in 17 Active CMS HCPCS Codes.
Dr. Lopez's longitudinal care intensity (34.4 billed units per patient across 171 individuals) centers on 99214 (2643 annual units) and 99213 ($126–$172 cash range).
Self-pay new patient consultations with Dr. Lopez (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 4.47/5 modern protocol openness score across 19 patient logs.
Patients evaluating Dr. Niceto Lopez in ZIP 94596 note 12 years of post-doctoral tenure (null, 2014) alongside 34.4 annual CMS procedures per patient.
Top 10% Internal Medicine volume leader in Walnut Creek, CA
5,874 annual services across 171 beneficiaries
Standard deviations from CA Internal 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 | 2,643 | 92.98th | $164 – $225 |
| 99213 | Established Preventive & Chronic Care Visit | 1,527 | 94.98th | $126 – $172 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 764 | 93.98th | $60 – $82 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 587 | 88.98th | $193 – $265 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 352 | 97.98th | $229 – $314 |
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Dr. Niceto Lopez, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lopez National Provider Identifier | NPI #1003012931 (MD) | CMS NPPES Registry (94596) |
| Dr. Lopez Walnut Creek CMS Volume Rank | 92.98th Pct (5,874 CMS svcs; Z +0.044σ) | CMS Medicare Part B (CA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Walnut Creek, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 19 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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