Dr. Julia Cosma, MD
7500 Rialto Blvd Ste 1-140, Austin, TX 78735 • +1-591-555-8678
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Austin Percentiles
NPI #1194711515 • CBSA 12420 • Family Practice
Operating out of Austin, TX (7500 Rialto Blvd Ste 1-140), Family Practice clinician Dr. Julia Cosma, MD (accredited MD/DO training, 2017) maintains a focused low-volume boutique caseload (16.04th Austin percentile) (16.05th TX percentile; Z-score -0.36σ across 839 documented services) with sub-specialty concentration in 13 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Cosma (averaging 3.0 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 42% of tracked volume (352 encounters), paired with 99213 (260x).
Direct cash-pay transparency modeling sets Dr. Cosma's baseline new-consult rate near $211.00 in Austin, TX (cash-pay accepted, hybrid in-clinic and telehealth video consults, 17-minute average reception wait).
Spanning 9 years of clinical practice following 2017 graduation from medical training, Dr. Julia Cosma integrates 13 Active CMS HCPCS Codes diagnostics for Austin metro patients.
Compared against Austin, TX Family Practice peers
839 annual services across 278 beneficiaries
Standard deviations from TX 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 | 352 | 16.04th | $174 – $239 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 260 | 15.04th | $134 – $183 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 101 | 16.04th | $200 – $274 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 76 | 18.04th | $38 – $53 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 50 | 13.04th | $240 – $328 |
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Dr. Julia Cosma, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cosma National Provider Identifier | NPI #1194711515 (MD) | CMS NPPES Registry (78735) |
| Dr. Cosma Austin CMS Volume Rank | 16.04th Pct (839 CMS svcs; Z -0.357σ) | CMS Medicare Part B (TX Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $211.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Austin, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $211.00 avg paid • 17 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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