Dr. Rafael Garcia, MD
7100 W 20th Ave Ste 608, Hialeah, FL 33016 • +1-472-555-8320
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Hialeah Percentiles
NPI #1740221761 • CBSA Regional • Otolaryngology
Operating out of Hialeah, FL (7100 W 20th Ave Ste 608), Otolaryngology clinician Dr. Rafael Garcia, MD (accredited MD/DO training, 2004) maintains a focused low-volume boutique caseload (20th Hialeah percentile) (3.17th FL percentile; Z-score -0.81σ across 691 documented services) with sub-specialty concentration in 31 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Rafael Garcia (33016) place 99213 at the top of the practice ledger (235 yearly units, 20th metro rank), rounded out by 31231 and 31575.
Direct cash-pay transparency modeling sets Dr. Garcia's baseline new-consult rate near $216.00 in Hialeah, FL (cash-pay accepted, in-person clinic visits only, 21-minute average reception wait).
Patients evaluating Dr. Rafael Garcia in ZIP 33016 note 22 years of post-doctoral tenure (null, 2004) alongside 6.7 annual CMS procedures per patient.
Compared against Hialeah, FL Otolaryngology peers
691 annual services across 103 beneficiaries
Standard deviations from FL Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 235 | 20th | $70 – $96 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 173 | 24th | $141 – $193 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 131 | 15th | $103 – $141 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 90 | 22th | $50 – $68 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 62 | 25th | $44 – $61 |
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Dr. Rafael Garcia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Garcia National Provider Identifier | NPI #1740221761 (MD) | CMS NPPES Registry (33016) |
| Dr. Garcia Hialeah CMS Volume Rank | 20.00th Pct (691 CMS svcs; Z -0.813σ) | CMS Medicare Part B (FL Otolaryngology) |
| 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 • 21 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.54/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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