Dr. Sonia Simoes, MD
390 New York Ave, Newark, NJ 07105 • +1-517-555-8904
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Newark Percentiles
NPI #1346406600 • CBSA Regional • Nephrology
Within the Newark, NJ (CBSA local) Nephrology cohort, Dr. Sonia Simoes, MD with sub-specialty concentration in 18 Active CMS HCPCS Codes ranks at the 66.67th municipal percentile and 45.93th NJ percentile (-0.34σ Z-score) based on 1,930 billed procedures for 375 patients.
Dr. Simoes's longitudinal care intensity (5.1 billed units per patient across 375 individuals) centers on 99214 (926 annual units) and 90960 ($448–$614 cash range).
Self-pay new patient consultations with Dr. Simoes (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 10-minute average reception wait, and a 4.52/5 modern protocol openness score across 24 patient logs.
Patients evaluating Dr. Sonia Simoes in ZIP 07105 note 13 years of post-doctoral tenure (null, 2013) alongside 5.1 annual CMS procedures per patient.
Compared against Newark, NJ Nephrology peers
1,930 annual services across 375 beneficiaries
Standard deviations from NJ Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 926 | 66.67th | $224 – $307 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 425 | 68.67th | $448 – $614 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 347 | 70.67th | $327 – $448 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 232 | 61.67th | $308 – $422 |
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Dr. Sonia Simoes, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simoes National Provider Identifier | NPI #1346406600 (MD) | CMS NPPES Registry (07105) |
| Dr. Simoes Newark CMS Volume Rank | 66.67th Pct (1,930 CMS svcs; Z -0.341σ) | CMS Medicare Part B (NJ Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Newark, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.52/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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