Dr. Rafael Baracaldo, MD
6400 Dutchmans Pkwy Ste 250, Louisville, KY 40205 • +1-847-555-4957
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Louisville Percentiles
NPI #1013151968 • CBSA Regional • Nephrology
Anchored in Louisville, KY 40205, Dr. Rafael Baracaldo, MD (NPI 1013151968) logged 2,681 annual procedures (focused low-volume boutique caseload (31.43th Louisville percentile), 64.2th KY percentile, +0.19σ) with sub-specialty concentration in 26 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1013151968 highlights 1287 annual claims for 99214 (31.43th Louisville percentile; $150–$206 self-pay corridor) plus 590 encounters under 90960 and 483 under 99215.
Cash-pay intake data for NPI 1013151968 (6400 Dutchmans Pkwy Ste 250, Louisville) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 15-minute average reception wait and 4.45/5 biomarker openness.
Spanning 32 years of clinical practice following 1994 graduation from medical training, Dr. Rafael Baracaldo integrates 26 Active CMS HCPCS Codes diagnostics for Louisville metro patients.
Compared against Louisville, KY Nephrology peers
2,681 annual services across 850 beneficiaries
Standard deviations from KY Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 1,287 | 31.43th | $150 – $206 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 590 | 29.43th | $301 – $412 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 483 | 27.43th | $219 – $300 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 322 | 33.43th | $207 – $283 |
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Dr. Rafael Baracaldo, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Baracaldo National Provider Identifier | NPI #1013151968 (MD) | CMS NPPES Registry (40205) |
| Dr. Baracaldo Louisville CMS Volume Rank | 31.43th Pct (2,681 CMS svcs; Z +0.192σ) | CMS Medicare Part B (KY Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Louisville, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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