Dr. Ralph Menard, MD
205 W Windcrest St Ste 350, Fredericksburg, TX 78624 • +1-367-555-6561
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Fredericksburg Percentiles
NPI #1407876014 • CBSA Regional • Interventional Pain Management
Within the Fredericksburg, TX (CBSA local) Interventional Pain Management cohort, Dr. Ralph Menard, MD with sub-specialty concentration in 52 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 93.88th TX percentile (+1.33σ Z-score) based on 23,174 billed procedures for 434 patients.
Procedural volume for Dr. Menard is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 752 annual services, $43–$60 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 434/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 217/yr).
Uninsured and high-deductible cash patients visiting Dr. Ralph Menard in Fredericksburg (78624) face an estimated $209.00 initial evaluation fee at 205 W Windcrest St Ste 350 (hybrid in-clinic and telehealth video consults; 16-minute average reception wait; bedside manner 4.96/5 from 20 verified reports).
From 205 W Windcrest St Ste 350 in Fredericksburg (+1-367-555-6561), Dr. Menard, MD (26-year clinical track record) delivers 52 Active CMS HCPCS Codes care.
Top 10% Interventional Pain Management volume leader in Fredericksburg, TX
23,174 annual services across 434 beneficiaries
Standard deviations from TX Interventional Pain Management 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 | 752 | 99th | $43 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 434 | 99.5th | $33 – $48 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 217 | 98th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 167 | 95th | $51 – $70 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 100 | 98th | $60 – $83 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (52 HCPCS billing breadth) | 21,503 | 99th | $45 – $65 |
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Dr. Ralph Menard, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Menard National Provider Identifier | NPI #1407876014 (MD) | CMS NPPES Registry (78624) |
| Dr. Menard Fredericksburg CMS Volume Rank | 99.00th Pct (23,174 CMS svcs; Z +1.331σ) | CMS Medicare Part B (TX Interventional Pain Management) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fredericksburg, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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