Dr. Victor Avila Macias, MD
111 Hospital DR, Utica, NY 13502 • +1-516-555-8504
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Utica Percentiles
NPI #1386265288 • CBSA Regional • Hospitalist
Within the Utica, NY (CBSA local) Hospitalist cohort, Dr. Victor Avila Macias, MD with sub-specialty concentration in 11 Active CMS HCPCS Codes ranks at the 66.67th municipal percentile and 53.85th NY percentile (-0.08σ Z-score) based on 928 billed procedures for 262 patients.
Medicare Part B line-item claims for Dr. Victor Avila Macias (13502) place 99214 at the top of the practice ledger (418 yearly units, 66.67th metro rank), rounded out by 99213 and 93000.
Direct cash-pay transparency modeling sets Dr. Avila Macias's baseline new-consult rate near $232.00 in Utica, NY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 10-minute average reception wait).
NPI registry verification (#1386265288) confirms Dr. Victor Avila Macias's MD standing serving CBSA 13502 with a 4.85/5 patient scorecard.
Compared against Utica, NY Hospitalist peers
928 annual services across 262 beneficiaries
Standard deviations from NY Hospitalist 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 | 418 | 66.67th | $169 – $232 |
| 99213 | Established Preventive & Chronic Care Visit | 241 | 69.67th | $129 – $177 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 121 | 66.67th | $62 – $85 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 93 | 61.67th | $199 – $272 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 56 | 64.67th | $235 – $323 |
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Dr. Victor Avila Macias, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Avila Macias National Provider Identifier | NPI #1386265288 (MD) | CMS NPPES Registry (13502) |
| Dr. Avila Macias Utica CMS Volume Rank | 66.67th Pct (928 CMS svcs; Z -0.078σ) | CMS Medicare Part B (NY Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Utica, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 10 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.48/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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