Dr. Ernesto Carames, MD
16 Saint Johns Medical Park DR, St Augustine, FL 32086 • +1-460-555-7984
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & St Augustine Percentiles
NPI #1528099603 • CBSA Regional • Internal Medicine
Dr. Ernesto Carames, MD (NPI #1528099603) practices Internal Medicine in St Augustine, FL (32086) with sub-specialty concentration in 48 Active CMS HCPCS Codes, recording 3,966 annual CMS services across 530 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (71.43th St Augustine percentile) (-0.01σ vs FL state mean, 80.81th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Carames (averaging 7.5 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 39% of tracked volume (1529 encounters), paired with 99213 (883x).
At 16 Saint Johns Medical Park DR (32086), Dr. Ernesto Carames, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$216.00 per new consult (4.68/5 bedside rating).
Clinical background for Dr. Carames (MD, NPI #1528099603) includes accredited doctoral training (2012, 14 yrs in practice) and virtual + in-office availability across FL.
Compared against St Augustine, FL Internal Medicine peers
3,966 annual services across 530 beneficiaries
Standard deviations from FL Internal Medicine 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 | 1,529 | 71.43th | $134 – $184 |
| 99213 | Established Preventive & Chronic Care Visit | 883 | 73.43th | $103 – $141 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 442 | 68.43th | $49 – $67 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 340 | 67.43th | $157 – $216 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 204 | 69.43th | $186 – $256 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (48 HCPCS billing breadth) | 569 | 71.43th | $121 – $175 |
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Dr. Ernesto Carames, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Carames National Provider Identifier | NPI #1528099603 (MD) | CMS NPPES Registry (32086) |
| Dr. Carames St Augustine CMS Volume Rank | 71.43th Pct (3,966 CMS svcs; Z -0.015σ) | CMS Medicare Part B (FL Internal Medicine) |
| 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 • 21 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.91/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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