Dr. Joseph Villanueva, MD
649 W Wesmark Blvd, Sumter, SC 29150 • +1-295-555-6193
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Sumter Percentiles
NPI #1376831982 • CBSA Regional • Internal Medicine
Anchored in Sumter, SC 29150, Dr. Joseph Villanueva, MD (NPI 1376831982) logged 1,029 annual procedures (mid-cohort balanced caseload (36.36th Sumter percentile), 29.45th SC percentile, -0.30σ) with sub-specialty concentration in 11 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Villanueva (averaging 2.9 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (463 encounters), paired with 99213 (268x).
For out-of-network patients contacting +1-295-555-6193, Dr. Villanueva's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.65/5 composite reality score over 20 submissions).
Credentialed as an MD specialist with 14 years post-graduation experience since completing medical school at an LCME/COCA institution (2012), Dr. Villanueva coordinates 11 Active CMS HCPCS Codes workups from 649 W Wesmark Blvd (+1-295-555-6193).
Compared against Sumter, SC Internal Medicine peers
1,029 annual services across 349 beneficiaries
Standard deviations from SC Internal 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 | 463 | 36.36th | $153 – $209 |
| 99213 | Established Preventive & Chronic Care Visit | 268 | 35.36th | $117 – $160 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 134 | 33.36th | $56 – $76 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 103 | 35.36th | $179 – $246 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 62 | 32.36th | $212 – $291 |
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Dr. Joseph Villanueva, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Villanueva National Provider Identifier | NPI #1376831982 (MD) | CMS NPPES Registry (29150) |
| Dr. Villanueva Sumter CMS Volume Rank | 36.36th Pct (1,029 CMS svcs; Z -0.302σ) | CMS Medicare Part B (SC Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sumter, SC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.60/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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