Dr. Ariel Ponce, DO
4075 S Center Rd, Burton, MI 48519 • +1-559-555-5028
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Burton Percentiles
NPI #1164458592 • CBSA Regional • Family Practice
Operating out of Burton, MI (4075 S Center Rd), Family Practice clinician Dr. Ariel Ponce, DO (accredited MD/DO training, 2013) maintains a focused low-volume boutique caseload (0th Burton percentile) (10.1th MI percentile; Z-score -0.49σ across 709 documented services) with sub-specialty concentration in 32 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1164458592 highlights 245 annual claims for 99214 (12th Burton percentile; $103–$141 self-pay corridor) plus 181 encounters under 99213 and 70 under G0439.
Direct cash-pay transparency modeling sets Dr. Ponce's baseline new-consult rate near $209.00 in Burton, MI (cash-pay accepted, in-person clinic visits only, 13-minute average reception wait).
Patients evaluating Dr. Ariel Ponce in ZIP 48519 note 13 years of post-doctoral tenure (null, 2013) alongside 4.4 annual CMS procedures per patient.
Compared against Burton, MI Family Practice peers
709 annual services across 160 beneficiaries
Standard deviations from MI 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 | 245 | 12th | $103 – $141 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 181 | 12th | $79 – $108 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 70 | 12th | $118 – $162 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 52 | 12th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 35 | 12th | $142 – $194 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (32 HCPCS billing breadth) | 126 | 0th | $93 – $135 |
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Dr. Ariel Ponce, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ponce National Provider Identifier | NPI #1164458592 (DO) | CMS NPPES Registry (48519) |
| Dr. Ponce Burton CMS Volume Rank | 0.00th Pct (709 CMS svcs; Z -0.490σ) | CMS Medicare Part B (MI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Burton, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.75/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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