Dr. David Julian, MD
445 Holcomb Ranch Ln, Reno, NV 89511 • +1-571-555-3552
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Reno Percentiles
NPI #1770525628 • CBSA Regional • Internal Medicine
CMS Medicare Part B utilization records credit Dr. David Julian (MD, NPI 1770525628) at 445 Holcomb Ranch Ln in Reno with 10,104 annual clinical services (437 beneficiaries), corresponding to a +0.18σ regional deviation and upper-quartile active clinical volume (87.72th Reno percentile) with sub-specialty concentration in 12 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1770525628 highlights 4547 annual claims for 99214 (87.72th Reno percentile; $130–$178 self-pay corridor) plus 2627 encounters under 99213 and 1314 under 93000.
Cash-pay intake data for NPI 1770525628 (445 Holcomb Ranch Ln, Reno) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 22-minute average reception wait and 4.40/5 biomarker openness.
Credentialed as an MD specialist with 9 years post-graduation experience since completing medical school at an LCME/COCA institution (2017), Dr. Julian coordinates 12 Active CMS HCPCS Codes workups from 445 Holcomb Ranch Ln (+1-571-555-3552).
Compared against Reno, NV Internal Medicine peers
10,104 annual services across 437 beneficiaries
Standard deviations from NV 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 | 4,547 | 87.72th | $130 – $178 |
| 99213 | Established Preventive & Chronic Care Visit | 2,627 | 87.72th | $99 – $136 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 1,314 | 84.72th | $47 – $65 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 1,010 | 92.72th | $152 – $209 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 606 | 82.72th | $181 – $248 |
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Dr. David Julian, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Julian National Provider Identifier | NPI #1770525628 (MD) | CMS NPPES Registry (89511) |
| Dr. Julian Reno CMS Volume Rank | 87.72th Pct (10,104 CMS svcs; Z +0.182σ) | CMS Medicare Part B (NV Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Reno, NV) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.40/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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