Dr. Silvia Alvarez De Leon, MD
1229 E Seminole St Ste 230, Springfield, MO 65804 • +1-615-555-6920
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Springfield Percentiles
NPI #1902150063 • CBSA Regional • Pulmonary Disease
CMS Medicare Part B utilization records credit Dr. Silvia Alvarez De Leon (MD, NPI 1902150063) at 1229 E Seminole St Ste 230 in Springfield with 1,425 annual clinical services (552 beneficiaries), corresponding to a -0.31σ regional deviation and mid-cohort balanced caseload (61.54th Springfield percentile) with sub-specialty concentration in 30 Active CMS HCPCS Codes.
Procedural volume for Dr. Alvarez De Leon is led by HCPCS 99214 (Established Pulmonary, Asthma & COPD Management — 584 annual services, $76–$104 GPCI cash estimate), followed by CPT 94060 (Pre- & Post-Bronchodilator Spirometry Airflow Evaluation, 328/yr) and CPT 94729 (Alveolar Carbon Monoxide Diffusing Capacity (DLCO), 242/yr).
For out-of-network patients contacting +1-615-555-6920, Dr. Alvarez De Leon's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.63/5 composite reality score over 6 submissions).
Clinical background for Dr. Alvarez De Leon (MD, NPI #1902150063) includes accredited doctoral training (2016, 10 yrs in practice) and dedicated on-site consultations at 1229 E Seminole St Ste 230.
Compared against Springfield, MO Pulmonary Disease peers
1,425 annual services across 552 beneficiaries
Standard deviations from MO Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 584 | 61.54th | $76 – $104 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 328 | 58.54th | $50 – $68 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 242 | 66.54th | $45 – $62 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 157 | 60.54th | $139 – $191 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 114 | 60.54th | $107 – $147 |
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Dr. Silvia Alvarez De Leon, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Alvarez De Leon National Provider Identifier | NPI #1902150063 (MD) | CMS NPPES Registry (65804) |
| Dr. Alvarez De Leon Springfield CMS Volume Rank | 61.54th Pct (1,425 CMS svcs; Z -0.309σ) | CMS Medicare Part B (MO Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Springfield, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.58/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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