Dr. David Rybnicek, MD
1032 Fleming Street, Hendersonville, NC 28791 • +1-527-555-4881
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Hendersonville Percentiles
NPI #1134480197 • CBSA Regional • Internal Medicine
Operating out of Hendersonville, NC (1032 Fleming Street), Internal Medicine clinician Dr. David Rybnicek, MD (accredited MD/DO training, 2009) maintains a top-decile high-throughput specialist (95.24th percentile in Hendersonville) (93.81th NC percentile; Z-score +0.83σ across 12,506 documented services) with sub-specialty concentration in 65 Active CMS HCPCS Codes.
Procedural volume for Dr. Rybnicek is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 1022 annual services, $54–$74 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 590/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 295/yr).
At 1032 Fleming Street (28791), Dr. David Rybnicek, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.60/5 bedside rating).
Spanning 17 years of clinical practice following 2009 graduation from medical training, Dr. David Rybnicek integrates 65 Active CMS HCPCS Codes diagnostics for Hendersonville metro patients.
Top 10% Internal Medicine volume leader in Hendersonville, NC
12,506 annual services across 744 beneficiaries
Standard deviations from NC 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 | 1,022 | 95.24th | $54 – $74 |
| 99213 | Established Preventive & Chronic Care Visit | 590 | 93.24th | $42 – $57 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 295 | 99.24th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 227 | 96.24th | $64 – $87 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 136 | 94.24th | $76 – $104 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (65 HCPCS billing breadth) | 10,235 | 95.24th | $49 – $71 |
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Dr. David Rybnicek, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rybnicek National Provider Identifier | NPI #1134480197 (MD) | CMS NPPES Registry (28791) |
| Dr. Rybnicek Hendersonville CMS Volume Rank | 95.24th Pct (12,506 CMS svcs; Z +0.833σ) | CMS Medicare Part B (NC Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Hendersonville, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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