Dr. Karla Cepeda, MD
1620 Golden Mile Hwy, Ste 100, Monroeville, PA 15146 • +1-853-555-1466
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Monroeville Percentiles
NPI #1518057702 • CBSA Regional • Family Practice
Operating out of Monroeville, PA (1620 Golden Mile Hwy, Ste 100), Family Practice clinician Dr. Karla Cepeda, MD (accredited MD/DO training, 2003) maintains a focused low-volume boutique caseload (14.29th Monroeville percentile) (12.01th PA percentile; Z-score -0.48σ across 762 documented services) with sub-specialty concentration in 32 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Cepeda (averaging 3.4 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 35% of tracked volume (270 encounters), paired with 99213 (199x).
Direct cash-pay transparency modeling sets Dr. Cepeda's baseline new-consult rate near $209.00 in Monroeville, PA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 16-minute average reception wait).
Credentialed as an MD specialist with 23 years post-graduation experience since completing medical school at an LCME/COCA institution (2003), Dr. Cepeda coordinates 32 Active CMS HCPCS Codes workups from 1620 Golden Mile Hwy, Ste 100 (+1-853-555-1466).
Compared against Monroeville, PA Family Practice peers
762 annual services across 223 beneficiaries
Standard deviations from PA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 270 | 14.29th | $140 – $192 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 199 | 12th | $107 – $147 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 77 | 12.29th | $161 – $220 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 58 | 19.29th | $30 – $45 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 39 | 12.29th | $192 – $264 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (32 HCPCS billing breadth) | 120 | 14.29th | $126 – $183 |
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Dr. Karla Cepeda, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cepeda National Provider Identifier | NPI #1518057702 (MD) | CMS NPPES Registry (15146) |
| Dr. Cepeda Monroeville CMS Volume Rank | 14.29th Pct (762 CMS svcs; Z -0.478σ) | CMS Medicare Part B (PA Family Practice) |
| 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 • 16 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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