Dr. Viviane Alfandary, MD
1220 Rossmoor Pkwy, Walnut Creek, CA 94595 • +1-324-555-6023
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Walnut Creek Percentiles
NPI #1053338095 • CBSA Regional • Internal Medicine
Operating out of Walnut Creek, CA (1220 Rossmoor Pkwy), Internal Medicine clinician Dr. Viviane Alfandary, MD (accredited MD/DO training, 1998) maintains a mid-cohort balanced caseload (38.6th Walnut Creek percentile) (28.46th CA percentile; Z-score -0.10σ across 985 documented services) with sub-specialty concentration in 11 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Alfandary (averaging 3.1 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (443 encounters), paired with 99213 (256x).
For out-of-network patients contacting +1-324-555-6023, Dr. Alfandary's practice posts a $239.00 GPCI self-pay consult estimate ($239.00 patient-logged median, 4.59/5 composite reality score over 18 submissions).
Clinical background for Dr. Alfandary (MD, NPI #1053338095) includes accredited doctoral training (1998, 28 yrs in practice) and dedicated on-site consultations at 1220 Rossmoor Pkwy.
Compared against Walnut Creek, CA Internal Medicine peers
985 annual services across 320 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 | 443 | 38.6th | $197 – $270 |
| 99213 | Established Preventive & Chronic Care Visit | 256 | 35.6th | $151 – $206 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 128 | 42.6th | $72 – $98 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 99 | 40.6th | $231 – $317 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 59 | 41.6th | $274 – $375 |
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Dr. Viviane Alfandary, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Alfandary National Provider Identifier | NPI #1053338095 (MD) | CMS NPPES Registry (94595) |
| Dr. Alfandary Walnut Creek CMS Volume Rank | 38.60th Pct (985 CMS svcs; Z -0.100σ) | 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 • 14 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.95/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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