Dr. Aixa Toledo-Garcia, MD
4 Tower Pl, 8th Floor, Albany, NY 12203 • +1-211-555-2415
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Albany Percentiles
NPI #1891956751 • CBSA Regional • Rheumatology
Within the Albany, NY (CBSA local) Rheumatology cohort, Dr. Aixa Toledo-Garcia, MD with sub-specialty concentration in 53 Active CMS HCPCS Codes ranks at the 50th municipal percentile and 87.28th NY percentile (+1.04σ Z-score) based on 87,017 billed procedures for 487 patients.
Fee-schedule auditing of NPI 1891956751 highlights 1717 annual claims for 99214 (50th Albany percentile; $50–$69 self-pay corridor) plus 784 encounters under 20610 and 560 under 96413.
For out-of-network patients contacting +1-211-555-2415, Dr. Toledo-Garcia's practice posts a $232.00 GPCI self-pay consult estimate ($232.00 patient-logged median, 4.95/5 composite reality score over 26 submissions).
Credentialed as an MD specialist with 23 years post-graduation experience since completing medical school at an LCME/COCA institution (2003), Dr. Toledo-Garcia coordinates 53 Active CMS HCPCS Codes workups from 4 Tower Pl, 8th Floor (+1-211-555-2415).
Compared against Albany, NY Rheumatology peers
87,017 annual services across 487 beneficiaries
Standard deviations from NY Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 1,717 | 50th | $50 – $69 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 784 | 52th | $40 – $55 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 560 | 47th | $69 – $95 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 373 | 47th | $52 – $72 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 299 | 51th | $69 – $95 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (53 HCPCS billing breadth) | 83,284 | 50th | $45 – $65 |
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Dr. Aixa Toledo-Garcia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Toledo-Garcia National Provider Identifier | NPI #1891956751 (MD) | CMS NPPES Registry (12203) |
| Dr. Toledo-Garcia Albany CMS Volume Rank | 50.00th Pct (87,017 CMS svcs; Z +1.036σ) | CMS Medicare Part B (NY Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Albany, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 10 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.56/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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