Dr. Jose Marte-Santana, MD
640 S State St, Dover, DE 19901 • +1-951-555-1253
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Dover Percentiles
NPI #1992007165 • CBSA Regional • Internal Medicine
Anchored in Dover, DE 19901, Dr. Jose Marte-Santana, MD (NPI 1992007165) logged 763 annual procedures (focused low-volume boutique caseload (0th Dover percentile), 10.29th DE percentile, -0.16σ) with sub-specialty concentration in 8 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1992007165 highlights 343 annual claims for 99214 (12th Dover percentile; $157–$215 self-pay corridor) plus 198 encounters under 99213 and 99 under 93000.
Self-pay new patient consultations with Dr. Marte-Santana (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 16-minute average reception wait, and a 4.72/5 modern protocol openness score across 4 patient logs.
Clinical background for Dr. Marte-Santana (MD, NPI #1992007165) includes accredited doctoral training (1996, 30 yrs in practice) and virtual + in-office availability across DE.
Compared against Dover, DE Internal Medicine peers
763 annual services across 313 beneficiaries
Standard deviations from DE 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 | 343 | 12th | $157 – $215 |
| 99213 | Established Preventive & Chronic Care Visit | 198 | 12th | $120 – $165 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 99 | 12th | $57 – $79 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 76 | 12th | $185 – $253 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 46 | 12th | $219 – $300 |
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Dr. Jose Marte-Santana, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Marte-Santana National Provider Identifier | NPI #1992007165 (MD) | CMS NPPES Registry (19901) |
| Dr. Marte-Santana Dover CMS Volume Rank | 0.00th Pct (763 CMS svcs; Z -0.160σ) | CMS Medicare Part B (DE Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Dover, DE) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.72/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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