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Infectious Disease • Alton, IL 62002 • NPI #1669460655 TOP 10% ALTON CMS VOLUME

Dr. Rafael De LA Cruz, MD

4 Memorial DR Ste 230b, Alton, IL 62002 • +1-795-555-1536

Medical Education: Accredited U.S. Medical School (Class of 1997)

29 Active CMS HCPCS Codes
4.95/5
Waiting-Room Score
14 patient logs
$218.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Alton Percentiles

NPI #1669460655 • CBSA Regional • Infectious Disease

Dr. Rafael De LA Cruz DotMD Verification Badge

Operating out of Alton, IL (4 Memorial DR Ste 230b), Infectious Disease clinician Dr. Rafael De LA Cruz, MD (accredited MD/DO training, 1997) maintains a top-decile high-throughput specialist (99th percentile in Alton) (38.06th IL percentile; Z-score -0.54σ across 1,522 documented services) with sub-specialty concentration in 29 Active CMS HCPCS Codes.

Fee-schedule auditing of NPI 1669460655 highlights 685 annual claims for 99214 (99th Alton percentile; $122–$167 self-pay corridor) plus 396 encounters under 99213 and 198 under 93000.

Cash-pay intake data for NPI 1669460655 (4 Memorial DR Ste 230b, Alton) indicates $218.00 typical out-of-pocket visit spend against a $218.00 locality benchmark, paired with 18-minute average reception wait and 4.80/5 biomarker openness.

Clinical background for Dr. De LA Cruz (MD, NPI #1669460655) includes accredited doctoral training (1997, 29 yrs in practice) and virtual + in-office availability across IL.

Alton Percentile 99.00th

Top 10% Infectious Disease volume leader in Alton, IL

IL State Percentile 38.06th

1,522 annual services across 429 beneficiaries

Regional Volume Z-Score -0.543σ

Standard deviations from IL Infectious Disease 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 685 99th $122 – $167
99213 Established Preventive & Chronic Care Visit 396 98th $93 – $128
93000 In-Office 12-Lead Resting Electrocardiogram 198 97th $44 – $61
G0439 Annual Preventive Wellness & Cardiometabolic Risk Assessment 152 95th $143 – $196
99204 Comprehensive New Patient Internal Medicine Diagnostic Visit 91 99.5th $169 – $232
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Dr. Rafael De LA Cruz, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. De LA Cruz National Provider Identifier NPI #1669460655 (MD) CMS NPPES Registry (62002)
Dr. De LA Cruz Alton CMS Volume Rank 99.00th Pct (1,522 CMS svcs; Z -0.543σ) CMS Medicare Part B (IL Infectious Disease)
Fair Cash-Pay New-Patient Benchmark $218.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Alton, IL)
Waiting-Room Wait Time & Cash Friendliness $218.00 avg paid • 18 min lobby wait 14 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.89/5 Listening • 4.80/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
18 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $218.00
Listens Without Rushing
4.89/5
Patient communication rating
Modern Protocol Openness
4.80/5
Preventive labs, GLP-1s & HRT
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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