Dr. Luis Ticona, MD
801 Massachusetts Ave, Crosstown 6b, Boston, MA 02118 • +1-425-555-9566
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Boston Percentiles
NPI #1255693305 • CBSA 14460 • Internal Medicine
Operating out of Boston, MA (801 Massachusetts Ave, Crosstown 6b), Internal Medicine clinician Dr. Luis Ticona, MD (accredited MD/DO training, 2012) maintains a upper-quartile active clinical volume (73.36th Boston percentile) (50.98th MA percentile; Z-score -0.18σ across 1,371 documented services) with sub-specialty concentration in 53 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Ticona (averaging 20.5 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 8% of tracked volume (110 encounters), paired with 99213 (64x).
At 801 Massachusetts Ave, Crosstown 6b (02118), Dr. Luis Ticona, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$227.00 per new consult (4.75/5 bedside rating).
NPI registry verification (#1255693305) confirms Dr. Luis Ticona's MD standing serving CBSA 14460 with a 4.92/5 patient scorecard.
Compared against Boston, MA Internal Medicine peers
1,371 annual services across 67 beneficiaries
Standard deviations from MA 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 | 110 | 73.36th | $47 – $65 |
| 99213 | Established Preventive & Chronic Care Visit | 64 | 75.36th | $36 – $51 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 32 | 69.36th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 25 | 68.36th | $55 – $76 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 15 | 75.36th | $66 – $90 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (53 HCPCS billing breadth) | 1,126 | 73.36th | $45 – $65 |
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Dr. Luis Ticona, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ticona National Provider Identifier | NPI #1255693305 (MD) | CMS NPPES Registry (02118) |
| Dr. Ticona Boston CMS Volume Rank | 73.36th Pct (1,371 CMS svcs; Z -0.184σ) | CMS Medicare Part B (MA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $227.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Boston, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $227.00 avg paid • 19 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.68/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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