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Emergency Medicine • Monroeville, PA 15146 • NPI #1568492379

Dr. Jorge Simental, MD

200 James Pl, Monroeville, PA 15146 • +1-853-555-1188

Medical Education: Accredited U.S. Medical School (Class of 2002)

95 Active CMS HCPCS Codes
4.82/5
Waiting-Room Score
13 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Monroeville Percentiles

NPI #1568492379 • CBSA Regional • Emergency Medicine

Dr. Jorge Simental DotMD Verification Badge

Dr. Jorge Simental, MD (NPI #1568492379) practices Emergency Medicine in Monroeville, PA (15146) with sub-specialty concentration in 95 Active CMS HCPCS Codes, recording 1,487 annual CMS services across 111 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Monroeville percentile) (+0.41σ vs PA state mean, 87.89th statewide percentile).

Fee-schedule auditing of NPI 1568492379 highlights 476 annual claims for 99214 (12th Monroeville percentile; $69–$95 self-pay corridor) plus 275 encounters under 99213 and 138 under 93000.

Uninsured and high-deductible cash patients visiting Dr. Jorge Simental in Monroeville (15146) face an estimated $209.00 initial evaluation fee at 200 James Pl (hybrid in-clinic and telehealth video consults; 21-minute average reception wait; bedside manner 4.86/5 from 13 verified reports).

Credentialed as an MD specialist with 24 years post-graduation experience since completing medical school at an LCME/COCA institution (2002), Dr. Simental coordinates 95 Active CMS HCPCS Codes workups from 200 James Pl (+1-853-555-1188).

Monroeville Percentile 0.00th

Compared against Monroeville, PA Emergency Medicine peers

PA State Percentile 87.89th

1,487 annual services across 111 beneficiaries

Regional Volume Z-Score +0.405σ

Standard deviations from PA Emergency 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 476 12th $69 – $95
99213 Established Preventive & Chronic Care Visit 275 12th $53 – $72
93000 In-Office 12-Lead Resting Electrocardiogram 138 12th $25 – $40
G0439 Annual Preventive Wellness & Cardiometabolic Risk Assessment 106 12th $81 – $111
99204 Comprehensive New Patient Internal Medicine Diagnostic Visit 63 12th $96 – $132
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (95 HCPCS billing breadth) 429 0th $62 – $90
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Dr. Jorge Simental, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Simental National Provider Identifier NPI #1568492379 (MD) CMS NPPES Registry (15146)
Dr. Simental Monroeville CMS Volume Rank 0.00th Pct (1,487 CMS svcs; Z +0.405σ) CMS Medicare Part B (PA Emergency Medicine)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Monroeville, PA)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 21 min lobby wait 13 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.86/5 Listening • 4.76/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
21 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.86/5
Patient communication rating
Modern Protocol Openness
4.76/5
Preventive labs, GLP-1s & HRT
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