Dr. Sergio San Jose, DO
2620 W 76th St Apt 206, Hialeah, FL 33016 • +1-472-555-6331
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Hialeah Percentiles
NPI #1023307832 • CBSA Regional • Infectious Disease
Dr. Sergio San Jose, DO (NPI #1023307832) practices Infectious Disease in Hialeah, FL (33016) with sub-specialty concentration in 5 Active CMS HCPCS Codes, recording 1,070 annual CMS services across 266 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Hialeah percentile) (-0.23σ vs FL state mean, 23.13th statewide percentile).
Procedural volume for Dr. San Jose is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 482 annual services, $156–$214 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 278/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 139/yr).
Self-pay new patient consultations with Dr. San Jose (CPT 99204 GPCI-adjusted benchmark) estimate around $216.00 (community reported average: $216.00) with in-person clinic visits only, 9-minute average reception wait, and a 4.51/5 modern protocol openness score across 9 patient logs.
NPI registry verification (#1023307832) confirms Dr. Sergio San Jose's DO standing serving CBSA 33016 with a 4.66/5 patient scorecard.
Compared against Hialeah, FL Infectious Disease peers
1,070 annual services across 266 beneficiaries
Standard deviations from FL Infectious Disease 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 | 482 | 12th | $156 – $214 |
| 99213 | Established Preventive & Chronic Care Visit | 278 | 12th | $120 – $164 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 139 | 12th | $57 – $78 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 107 | 12th | $184 – $252 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 64 | 12th | $218 – $298 |
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Dr. Sergio San Jose, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. San Jose National Provider Identifier | NPI #1023307832 (DO) | CMS NPPES Registry (33016) |
| Dr. San Jose Hialeah CMS Volume Rank | 0.00th Pct (1,070 CMS svcs; Z -0.228σ) | CMS Medicare Part B (FL Infectious Disease) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Hialeah, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 9 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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