Dr. Aramis Cosme, MD
21214 Northwest Fwy, Cypress, TX 77429 • +1-929-555-5558
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Cypress Percentiles
NPI #1194179010 • CBSA Regional • Internal Medicine
Dr. Aramis Cosme, MD (NPI #1194179010) practices Internal Medicine in Cypress, TX (77429) with sub-specialty concentration in 32 Active CMS HCPCS Codes, recording 2,246 annual CMS services across 205 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (70th Cypress percentile) (-0.12σ vs TX state mean, 67.02th statewide percentile).
Procedural volume for Dr. Cosme is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 1011 annual services, $652–$894 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 584/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 292/yr).
Cash-pay intake data for NPI 1194179010 (21214 Northwest Fwy, Cypress) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 21-minute average reception wait and 4.43/5 biomarker openness.
NPI registry verification (#1194179010) confirms Dr. Aramis Cosme's MD standing serving CBSA 77429 with a 4.82/5 patient scorecard.
Compared against Cypress, TX Internal Medicine peers
2,246 annual services across 205 beneficiaries
Standard deviations from TX 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 | 1,011 | 70th | $652 – $894 |
| 99213 | Established Preventive & Chronic Care Visit | 584 | 71th | $499 – $684 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 292 | 73th | $238 – $326 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 225 | 71th | $765 – $1049 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 135 | 75th | $907 – $1243 |
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Dr. Aramis Cosme, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cosme National Provider Identifier | NPI #1194179010 (MD) | CMS NPPES Registry (77429) |
| Dr. Cosme Cypress CMS Volume Rank | 70.00th Pct (2,246 CMS svcs; Z -0.123σ) | CMS Medicare Part B (TX Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Cypress, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.82/5 Listening • 4.43/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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