Dr. Jose Guerra, MD
11 Shore Rd, Winchester, MA 01890 • +1-273-555-5252
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Winchester Percentiles
NPI #1043259039 • CBSA Regional • Family Practice
CMS Medicare Part B utilization records credit Dr. Jose Guerra (MD, NPI 1043259039) at 11 Shore Rd in Winchester with 1,421 annual clinical services (301 beneficiaries), corresponding to a -0.23σ regional deviation and mid-cohort balanced caseload (50th Winchester percentile) with sub-specialty concentration in 38 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Guerra (averaging 4.7 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 39% of tracked volume (551 encounters), paired with 99213 (407x).
Direct cash-pay transparency modeling sets Dr. Guerra's baseline new-consult rate near $224.00 in Winchester, MA (cash-pay accepted, in-person clinic visits only, 13-minute average reception wait).
Credentialed as an MD specialist with 13 years post-graduation experience since completing medical school at an LCME/COCA institution (2013), Dr. Guerra coordinates 38 Active CMS HCPCS Codes workups from 11 Shore Rd (+1-273-555-5252).
Compared against Winchester, MA Family Practice peers
1,421 annual services across 301 beneficiaries
Standard deviations from MA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 551 | 50th | $145 – $199 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 407 | 49th | $111 – $152 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 157 | 49th | $167 – $229 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 118 | 47th | $32 – $47 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 79 | 47th | $200 – $274 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (38 HCPCS billing breadth) | 109 | 50th | $131 – $190 |
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Dr. Jose Guerra, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Guerra National Provider Identifier | NPI #1043259039 (MD) | CMS NPPES Registry (01890) |
| Dr. Guerra Winchester CMS Volume Rank | 50.00th Pct (1,421 CMS svcs; Z -0.233σ) | CMS Medicare Part B (MA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Winchester, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 13 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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