Dr. Jorge Prieto, MD
1101 Chestnut St, Phila, PA 19107 • +1-347-555-1277
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Phila Percentiles
NPI #1942269931 • CBSA Regional • Gastroenterology
Statistical peer benchmarking across PA Gastroenterology providers positions Dr. Jorge Prieto, MD in Phila at -0.25σ (70th city percentile / 52.49th state percentile, 506 Medicare beneficiaries), with clinical focus spanning 35 Active CMS HCPCS Codes.
Dr. Prieto's longitudinal care intensity (5.5 billed units per patient across 506 individuals) centers on 99214 (1027 annual units) and 45380 ($204–$279 cash range).
Uninsured and high-deductible cash patients visiting Dr. Jorge Prieto in Phila (19107) face an estimated $209.00 initial evaluation fee at 1101 Chestnut St (hybrid in-clinic and telehealth video consults; 16-minute average reception wait; bedside manner 4.92/5 from 16 verified reports).
Clinical background for Dr. Prieto (MD, NPI #1942269931) includes accredited doctoral training (1993, 33 yrs in practice) and virtual + in-office availability across PA.
Compared against Phila, PA Gastroenterology peers
2,777 annual services across 506 beneficiaries
Standard deviations from PA Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 1,027 | 70th | $85 – $116 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 694 | 71th | $204 – $279 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 583 | 75th | $169 – $232 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 278 | 65th | $227 – $311 |
| 99204 | New Patient Digestive & Hepatology Consultation | 194 | 67th | $119 – $163 |
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Dr. Jorge Prieto, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Prieto National Provider Identifier | NPI #1942269931 (MD) | CMS NPPES Registry (19107) |
| Dr. Prieto Phila CMS Volume Rank | 70.00th Pct (2,777 CMS svcs; Z -0.253σ) | CMS Medicare Part B (PA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Phila, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.40/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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