Dr. Silvia Soto, MD
1234 Napier Ave, Saint Joseph, MI 49085 • +1-714-555-4877
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Saint Joseph Percentiles
NPI #1356961841 • CBSA Regional • Internal Medicine
Operating out of Saint Joseph, MI (1234 Napier Ave), Internal Medicine clinician Dr. Silvia Soto, MD (accredited MD/DO training, 1993) maintains a focused low-volume boutique caseload (16.67th Saint Joseph percentile) (9.83th MI percentile; Z-score -0.23σ across 701 documented services) with sub-specialty concentration in 15 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1356961841 highlights 315 annual claims for 99214 (16.67th Saint Joseph percentile; $127–$174 self-pay corridor) plus 182 encounters under 99213 and 91 under 93000.
At 1234 Napier Ave (49085), Dr. Silvia Soto, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.93/5 bedside rating).
NPI registry verification (#1356961841) confirms Dr. Silvia Soto's MD standing serving CBSA 49085 with a 4.62/5 patient scorecard.
Compared against Saint Joseph, MI Internal Medicine peers
701 annual services across 279 beneficiaries
Standard deviations from MI 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 | 315 | 16.67th | $127 – $174 |
| 99213 | Established Preventive & Chronic Care Visit | 182 | 12.67th | $97 – $133 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 91 | 21.67th | $46 – $64 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 70 | 13.67th | $149 – $204 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 42 | 13.67th | $177 – $242 |
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Dr. Silvia Soto, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Soto National Provider Identifier | NPI #1356961841 (MD) | CMS NPPES Registry (49085) |
| Dr. Soto Saint Joseph CMS Volume Rank | 16.67th Pct (701 CMS svcs; Z -0.226σ) | CMS Medicare Part B (MI Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Saint Joseph, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.76/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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