Dr. Enrique Garcia-Valenzuela, MD
8901 W. Golf Road, 206, Des Plaines, IL 60016 • +1-777-555-7900
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Des Plaines Percentiles
NPI #1356316855 • CBSA Regional • Ophthalmology
Operating out of Des Plaines, IL (8901 W. Golf Road, 206), Ophthalmology clinician Dr. Enrique Garcia-Valenzuela, MD (accredited MD/DO training, 2007) maintains a upper-quartile active clinical volume (68.42th Des Plaines percentile) (91.94th IL percentile; Z-score +1.01σ across 25,755 documented services) with sub-specialty concentration in 62 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1356316855 highlights 3927 annual claims for 92014 (68.42th Des Plaines percentile; $174–$238 self-pay corridor) plus 2759 encounters under 92134 and 1804 under 92083.
Direct cash-pay transparency modeling sets Dr. Garcia-Valenzuela's baseline new-consult rate near $218.00 in Des Plaines, IL (cash-pay accepted, in-person clinic visits only, 20-minute average reception wait).
Spanning 19 years of clinical practice following 2007 graduation from medical training, Dr. Enrique Garcia-Valenzuela integrates 62 Active CMS HCPCS Codes diagnostics for Des Plaines metro patients.
Compared against Des Plaines, IL Ophthalmology peers
25,755 annual services across 1,305 beneficiaries
Standard deviations from IL Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 3,927 | 68.42th | $174 – $238 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 2,759 | 69.42th | $96 – $131 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 1,804 | 66.42th | $115 – $158 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 1,274 | 72.42th | $209 – $287 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 849 | 71.42th | $767 – $1051 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (62 HCPCS billing breadth) | 15,142 | 68.42th | $153 – $222 |
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Dr. Enrique Garcia-Valenzuela, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Garcia-Valenzuela National Provider Identifier | NPI #1356316855 (MD) | CMS NPPES Registry (60016) |
| Dr. Garcia-Valenzuela Des Plaines CMS Volume Rank | 68.42th Pct (25,755 CMS svcs; Z +1.009σ) | CMS Medicare Part B (IL Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Des Plaines, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 20 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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