Dr. Ronald Villareal, MD
1129 Northern Blvd, 101, Manhasset, NY 11030 • +1-600-555-9427
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Manhasset Percentiles
NPI #1689859266 • CBSA Regional • Nephrology
Dr. Ronald Villareal, MD (NPI #1689859266) practices Nephrology in Manhasset, NY (11030) with sub-specialty concentration in 13 Active CMS HCPCS Codes, recording 806 annual CMS services across 137 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Manhasset percentile) (-0.27σ vs NY state mean, 14.99th statewide percentile).
Fee-schedule auditing of NPI 1689859266 highlights 387 annual claims for 99214 (12th Manhasset percentile; $285–$391 self-pay corridor) plus 177 encounters under 90960 and 145 under 99215.
Cash-pay intake data for NPI 1689859266 (1129 Northern Blvd, 101, Manhasset) indicates $232.00 typical out-of-pocket visit spend against a $232.00 locality benchmark, paired with 18-minute average reception wait and 4.77/5 biomarker openness.
Patients evaluating Dr. Ronald Villareal in ZIP 11030 note 11 years of post-doctoral tenure (null, 2015) alongside 5.9 annual CMS procedures per patient.
Compared against Manhasset, NY Nephrology peers
806 annual services across 137 beneficiaries
Standard deviations from NY 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 | 387 | 12th | $285 – $391 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 177 | 12th | $571 – $782 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 145 | 12th | $416 – $570 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 97 | 12th | $392 – $538 |
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Dr. Ronald Villareal, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Villareal National Provider Identifier | NPI #1689859266 (MD) | CMS NPPES Registry (11030) |
| Dr. Villareal Manhasset CMS Volume Rank | 0.00th Pct (806 CMS svcs; Z -0.274σ) | CMS Medicare Part B (NY Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Manhasset, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 18 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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