Dr. Karen Fernandez Espinal, MD
3659 S Miami Ave, Suite 3005, Miami, FL 33133 • +1-370-555-2440
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Miami Percentiles
NPI #1932474376 • CBSA 33100 • Rheumatology
Operating out of Miami, FL (3659 S Miami Ave, Suite 3005), Rheumatology clinician Dr. Karen Fernandez Espinal, MD (accredited MD/DO training, 2006) maintains a focused low-volume boutique caseload (0th Miami percentile) (12.45th FL percentile; Z-score -0.66σ across 1,684 documented services) with sub-specialty concentration in 25 Active CMS HCPCS Codes.
Dr. Fernandez Espinal's longitudinal care intensity (23.7 billed units per patient across 71 individuals) centers on 99214 (95 annual units) and 20610 ($49–$67 cash range).
At 3659 S Miami Ave, Suite 3005 (33133), Dr. Karen Fernandez Espinal, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$227.00 per new consult (4.93/5 bedside rating).
From 3659 S Miami Ave, Suite 3005 in Miami (+1-370-555-2440), Dr. Fernandez Espinal, MD (20-year clinical track record) delivers 25 Active CMS HCPCS Codes care.
Compared against Miami, FL Rheumatology peers
1,684 annual services across 71 beneficiaries
Standard deviations from FL 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 | 95 | 12th | $61 – $84 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 43 | 12th | $49 – $67 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 31 | 12th | $85 – $116 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 21 | 12th | $64 – $88 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 17 | 12th | $85 – $116 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (25 HCPCS billing breadth) | 1,477 | 0th | $53 – $77 |
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Dr. Karen Fernandez Espinal, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fernandez Espinal National Provider Identifier | NPI #1932474376 (MD) | CMS NPPES Registry (33133) |
| Dr. Fernandez Espinal Miami CMS Volume Rank | 0.00th Pct (1,684 CMS svcs; Z -0.655σ) | CMS Medicare Part B (FL Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $227.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Miami, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $227.00 avg paid • 9 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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