Dr. Edwin Santa, MD
2160 S 1st Ave, Maywood, IL 60153 • +1-573-555-8200
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Maywood Percentiles
NPI #1093998502 • CBSA Regional • Hospitalist
Statistical peer benchmarking across IL Hospitalist providers positions Dr. Edwin Santa, MD in Maywood at -0.39σ (9.09th city percentile / 2.02th state percentile, 234 Medicare beneficiaries), with clinical focus spanning 7 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1093998502 highlights 288 annual claims for 99214 (12th Maywood percentile; $186–$255 self-pay corridor) plus 166 encounters under 99213 and 83 under 93000.
For out-of-network patients contacting +1-573-555-8200, Dr. Santa's practice posts a $218.00 GPCI self-pay consult estimate ($218.00 patient-logged median, 4.80/5 composite reality score over 23 submissions).
Clinical background for Dr. Santa (MD, NPI #1093998502) includes accredited doctoral training (2015, 11 yrs in practice) and virtual + in-office availability across IL.
Compared against Maywood, IL Hospitalist peers
640 annual services across 234 beneficiaries
Standard deviations from IL Hospitalist 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 | 288 | 12th | $186 – $255 |
| 99213 | Established Preventive & Chronic Care Visit | 166 | 12th | $142 – $195 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 83 | 12th | $68 – $93 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 64 | 12th | $218 – $299 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 38 | 12th | $259 – $355 |
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Dr. Edwin Santa, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Santa National Provider Identifier | NPI #1093998502 (MD) | CMS NPPES Registry (60153) |
| Dr. Santa Maywood CMS Volume Rank | 9.09th Pct (640 CMS svcs; Z -0.390σ) | CMS Medicare Part B (IL Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Maywood, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 15 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.43/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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