Dr. Jose Pando, MD
20268 Plantations Rd, Lewes, DE 19958 • +1-482-555-8072
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Lewes Percentiles
NPI #1306839048 • CBSA Regional • Rheumatology
Operating out of Lewes, DE (20268 Plantations Rd), Rheumatology clinician Dr. Jose Pando, MD (accredited MD/DO training, 2007) maintains a top-decile high-throughput specialist (99th percentile in Lewes) (75th DE percentile; Z-score +1.04σ across 385,600 documented services) with sub-specialty concentration in 50 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1306839048 highlights 2890 annual claims for 99214 (99th Lewes percentile; $45–$62 self-pay corridor) plus 1319 encounters under 20610 and 942 under 96413.
Direct cash-pay transparency modeling sets Dr. Pando's baseline new-consult rate near $209.00 in Lewes, DE (cash-pay accepted, in-person clinic visits only, 16-minute average reception wait).
Credentialed as an MD specialist with 19 years post-graduation experience since completing medical school at an LCME/COCA institution (2007), Dr. Pando coordinates 50 Active CMS HCPCS Codes workups from 20268 Plantations Rd (+1-482-555-8072).
Top 10% Rheumatology volume leader in Lewes, DE
385,600 annual services across 1,264 beneficiaries
Standard deviations from DE Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 2,890 | 99th | $45 – $62 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 1,319 | 99.5th | $36 – $51 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 942 | 99th | $62 – $85 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 628 | 99.5th | $47 – $65 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 503 | 95th | $62 – $85 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (50 HCPCS billing breadth) | 379,317 | 99th | $45 – $65 |
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Dr. Jose Pando, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pando National Provider Identifier | NPI #1306839048 (MD) | CMS NPPES Registry (19958) |
| Dr. Pando Lewes CMS Volume Rank | 99.00th Pct (385,600 CMS svcs; Z +1.039σ) | CMS Medicare Part B (DE Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lewes, DE) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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