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Internal Medicine • New Castle, DE 19720 • NPI #1467834812 TOP 10% NEW CASTLE CMS VOLUME

Dr. Nancy Gutierrez Rivera, MD

94 Christiana Rd, New Castle, DE 19720 • +1-321-555-1098

Medical Education: Accredited U.S. Medical School (Class of 1996)

27 Active CMS HCPCS Codes
4.88/5
Waiting-Room Score
7 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & New Castle Percentiles

NPI #1467834812 • CBSA Regional • Internal Medicine

Dr. Nancy Gutierrez Rivera DotMD Verification Badge

Operating out of New Castle, DE (94 Christiana Rd), Internal Medicine clinician Dr. Nancy Gutierrez Rivera, MD (accredited MD/DO training, 1996) maintains a top-decile high-throughput specialist (99th percentile in New Castle) (0.98th DE percentile; Z-score -0.16σ across 633 documented services) with sub-specialty concentration in 27 Active CMS HCPCS Codes.

Among 5 tracked CMS fee-schedule codes for Dr. Gutierrez Rivera (averaging 1.9 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 44% of tracked volume (276 encounters), paired with 99213 (160x).

Direct cash-pay transparency modeling sets Dr. Gutierrez Rivera's baseline new-consult rate near $209.00 in New Castle, DE (cash-pay accepted, hybrid in-clinic and telehealth video consults, 9-minute average reception wait).

From 94 Christiana Rd in New Castle (+1-321-555-1098), Dr. Gutierrez Rivera, MD (30-year clinical track record) delivers 27 Active CMS HCPCS Codes care.

New Castle Percentile 99.00th

Top 10% Internal Medicine volume leader in New Castle, DE

DE State Percentile 0.98th

633 annual services across 331 beneficiaries

Regional Volume Z-Score -0.164σ

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 276 99th $154 – $211
99213 Established Preventive & Chronic Care Visit 160 94th $118 – $161
93000 In-Office 12-Lead Resting Electrocardiogram 80 99.5th $56 – $77
G0439 Annual Preventive Wellness & Cardiometabolic Risk Assessment 61 99.5th $181 – $248
99204 Comprehensive New Patient Internal Medicine Diagnostic Visit 37 99.5th $214 – $293
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Dr. Nancy Gutierrez Rivera, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Gutierrez Rivera National Provider Identifier NPI #1467834812 (MD) CMS NPPES Registry (19720)
Dr. Gutierrez Rivera New Castle CMS Volume Rank 99.00th Pct (633 CMS svcs; Z -0.164σ) CMS Medicare Part B (DE Internal Medicine)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (New Castle, DE)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 9 min lobby wait 7 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.58/5 Listening • 4.55/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
9 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.58/5
Patient communication rating
Modern Protocol Openness
4.55/5
Preventive labs, GLP-1s & HRT
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