Dr. Rafael Cortes, MD
100 Whetstone Pl, Suite 105, St Augustine, FL 32086 • +1-460-555-8243
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & St Augustine Percentiles
NPI #1770729816 • CBSA Regional • Gastroenterology
Within the St Augustine, FL (CBSA local) Gastroenterology cohort, Dr. Rafael Cortes, MD with sub-specialty concentration in 49 Active CMS HCPCS Codes ranks at the 70th municipal percentile and 93.28th FL percentile (+1.06σ Z-score) based on 9,613 billed procedures for 547 patients.
Procedural volume for Dr. Cortes is led by HCPCS 99214 (Established Gastroenterology, GERD & IBD Evaluation — 389 annual services, $49–$67 GPCI cash estimate), followed by CPT 45380 (Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy, 263/yr) and CPT 43239 (Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy, 221/yr).
Self-pay new patient consultations with Dr. Cortes (CPT 99204 GPCI-adjusted benchmark) estimate around $216.00 (community reported average: $216.00) with in-person clinic visits only, 19-minute average reception wait, and a 4.93/5 modern protocol openness score across 9 patient logs.
Credentialed as an MD specialist with 22 years post-graduation experience since completing medical school at an LCME/COCA institution (2004), Dr. Cortes coordinates 49 Active CMS HCPCS Codes workups from 100 Whetstone Pl, Suite 105 (+1-460-555-8243).
Compared against St Augustine, FL Gastroenterology peers
9,613 annual services across 547 beneficiaries
Standard deviations from FL Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 389 | 70th | $49 – $67 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 263 | 75th | $118 – $161 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 221 | 70th | $98 – $134 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 105 | 68th | $131 – $180 |
| 99204 | New Patient Digestive & Hepatology Consultation | 74 | 75th | $69 – $94 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (49 HCPCS billing breadth) | 8,562 | 70th | $46 – $67 |
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Dr. Rafael Cortes, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cortes National Provider Identifier | NPI #1770729816 (MD) | CMS NPPES Registry (32086) |
| Dr. Cortes St Augustine CMS Volume Rank | 70.00th Pct (9,613 CMS svcs; Z +1.057σ) | CMS Medicare Part B (FL Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (St Augustine, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 19 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.94/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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