Dr. Mario Villalba, MD
3535 W 13 Mile Rd, Suite 501, Royal Oak, MI 48073 • +1-277-555-8638
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Royal Oak Percentiles
NPI #1285849190 • CBSA Regional • General Surgery
Within the Royal Oak, MI (CBSA local) General Surgery cohort, Dr. Mario Villalba, MD with sub-specialty concentration in 58 Active CMS HCPCS Codes ranks at the 60th municipal percentile and 37.7th MI percentile (-0.36σ Z-score) based on 852 billed procedures for 324 patients.
Among 5 tracked CMS fee-schedule codes for Dr. Villalba (averaging 2.6 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (383 encounters), paired with 99213 (222x).
Cash-pay intake data for NPI 1285849190 (3535 W 13 Mile Rd, Suite 501, Royal Oak) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 15-minute average reception wait and 4.64/5 biomarker openness.
From 3535 W 13 Mile Rd, Suite 501 in Royal Oak (+1-277-555-8638), Dr. Villalba, MD (9-year clinical track record) delivers 58 Active CMS HCPCS Codes care.
Compared against Royal Oak, MI General Surgery peers
852 annual services across 324 beneficiaries
Standard deviations from MI General Surgery 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 | 383 | 60th | $249 – $341 |
| 99213 | Established Preventive & Chronic Care Visit | 222 | 60th | $191 – $261 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 111 | 63th | $91 – $125 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 85 | 65th | $292 – $401 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 51 | 62th | $346 – $475 |
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Dr. Mario Villalba, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Villalba National Provider Identifier | NPI #1285849190 (MD) | CMS NPPES Registry (48073) |
| Dr. Villalba Royal Oak CMS Volume Rank | 60.00th Pct (852 CMS svcs; Z -0.365σ) | CMS Medicare Part B (MI General Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Royal Oak, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.64/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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