Dr. Alan Desilva, MD
1248 Kinoole Street, Suite 107, Hilo, HI 96720 • +1-376-555-6631
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Hilo Percentiles
NPI #1790885994 • CBSA Regional • Internal Medicine
Dr. Alan Desilva, MD (NPI #1790885994) practices Internal Medicine in Hilo, HI (96720) with sub-specialty concentration in 9 Active CMS HCPCS Codes, recording 963 annual CMS services across 333 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (33.33th Hilo percentile) (-0.32σ vs HI state mean, 44.24th statewide percentile).
Dr. Desilva's longitudinal care intensity (2.9 billed units per patient across 333 individuals) centers on 99214 (433 annual units) and 99213 ($139–$190 cash range).
Direct cash-pay transparency modeling sets Dr. Desilva's baseline new-consult rate near $209.00 in Hilo, HI (cash-pay accepted, in-person clinic visits only, 12-minute average reception wait).
Patients evaluating Dr. Alan Desilva in ZIP 96720 note 28 years of post-doctoral tenure (null, 1998) alongside 2.9 annual CMS procedures per patient.
Compared against Hilo, HI Internal Medicine peers
963 annual services across 333 beneficiaries
Standard deviations from HI 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 | 433 | 33.33th | $181 – $248 |
| 99213 | Established Preventive & Chronic Care Visit | 250 | 33.33th | $139 – $190 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 125 | 36.33th | $66 – $91 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 96 | 31.33th | $213 – $291 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 58 | 31.33th | $252 – $345 |
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Dr. Alan Desilva, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Desilva National Provider Identifier | NPI #1790885994 (MD) | CMS NPPES Registry (96720) |
| Dr. Desilva Hilo CMS Volume Rank | 33.33th Pct (963 CMS svcs; Z -0.322σ) | CMS Medicare Part B (HI Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Hilo, HI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.46/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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