Dr. Anthony Hernandez, MD
5301 S Congress Ave, Atlantis, FL 33462 • +1-737-555-8437
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Atlantis Percentiles
NPI #1780208538 • CBSA Regional • Family Practice
Operating out of Atlantis, FL (5301 S Congress Ave), Family Practice clinician Dr. Anthony Hernandez, MD (accredited MD/DO training, 1997) maintains a focused low-volume boutique caseload (20th Atlantis percentile) (25.89th FL percentile; Z-score -0.37σ across 1,056 documented services) with sub-specialty concentration in 11 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1780208538 highlights 444 annual claims for 99214 (20th Atlantis percentile; $205–$281 self-pay corridor) plus 327 encounters under 99213 and 127 under G0439.
At 5301 S Congress Ave (33462), Dr. Anthony Hernandez, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$216.00 per new consult (4.79/5 bedside rating).
Clinical background for Dr. Hernandez (MD, NPI #1780208538) includes accredited doctoral training (1997, 29 yrs in practice) and virtual + in-office availability across FL.
Compared against Atlantis, FL Family Practice peers
1,056 annual services across 604 beneficiaries
Standard deviations from FL Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 444 | 20th | $205 – $281 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 327 | 21th | $157 – $215 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 127 | 25th | $236 – $323 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 95 | 23th | $45 – $61 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 63 | 24th | $282 – $387 |
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Dr. Anthony Hernandez, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Hernandez National Provider Identifier | NPI #1780208538 (MD) | CMS NPPES Registry (33462) |
| Dr. Hernandez Atlantis CMS Volume Rank | 20.00th Pct (1,056 CMS svcs; Z -0.366σ) | CMS Medicare Part B (FL Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Atlantis, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 21 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.52/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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