Switched to cash pay ($199) at 719 Wilshire Blvd, Suite 783 with Dr. Castellano; 16-minute wait and modern Polycystic Ovary & Hyperinsulinemic Androgenism / Incretin & GLP-1 Obesity Pharmacology protocol openness.
Dr. Julian Castellano, MD
719 Wilshire Blvd, Suite 783, Houston, TX 77049 • (863) 347-7831
Medical Education: Vanderbilt University School of Medicine (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Houston Percentiles
NPI #1609109272 • CBSA 26420 • Endocrinology & Metabolism
Trained at Vanderbilt University School of Medicine (Class of 2016), Dr. Julian Castellano, MD (NPI #1609109272) practices Endocrinology & Metabolism in Houston, TX (77049) with sub-specialty concentration in Polycystic Ovary & Hyperinsulinemic Androgenism and Incretin & GLP-1 Obesity Pharmacology, recording 1,127 annual CMS services across 417 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (16.67th Houston percentile) (-0.82σ vs TX state mean, 16.67th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Castellano (averaging 2.7 services per beneficiary), 77080 (Dual-Energy X-Ray Absorptiometry (DEXA) Axial Bone Density & Visceral Fat Scan) represents 27% of tracked volume (306 encounters), paired with 60100 (256x).
Uninsured and high-deductible cash patients visiting Dr. Julian Castellano in Houston (77049) face an estimated $212.00 initial evaluation fee at 719 Wilshire Blvd, Suite 783 (hybrid in-clinic and telehealth video consults; 18-minute average reception wait; bedside manner 4.84/5 from 16 verified reports).
From 719 Wilshire Blvd, Suite 783 in Houston ((863) 347-7831), Vanderbilt University School of Medicine graduate Dr. Castellano, MD (10-year clinical track record) delivers Polycystic Ovary & Hyperinsulinemic Androgenism, Incretin & GLP-1 Obesity Pharmacology care.
Compared against Houston, TX Endocrinology & Metabolism peers
1,127 annual services across 417 beneficiaries
Standard deviations from TX Endocrinology & Metabolism mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 77080 | Dual-Energy X-Ray Absorptiometry (DEXA) Axial Bone Density & Visceral Fat Scan | 306 | 0th | $72 – $98 |
| 60100 | Ultrasound-Guided Fine-Needle Aspiration Biopsy of Thyroid Nodule | 256 | 20th | $210 – $288 |
| 76536 | High-Resolution Thyroid & Parathyroid Duplex Ultrasonography | 205 | 50th | $159 – $218 |
| 95251 | Ambulatory Continuous Glucose Monitoring (CGM) 14-Day Interpretation | 155 | 50th | $59 – $81 |
| 99214 | Established Longitudinal Glycemic & Titration Visit | 105 | 33.33th | $171 – $234 |
| 94690 | Indirect Calorimetry Resting Metabolic Rate Oxygen Consumption Assay | 100 | 0th | $89 – $122 |
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Dr. Julian Castellano, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Castellano National Provider Identifier | NPI #1609109272 (MD) | CMS NPPES Registry (77049) |
| Dr. Castellano Houston CMS Volume Rank | 16.67th Pct (1,127 CMS svcs; Z -0.823σ) | CMS Medicare Part B (TX Endocrinology & Metabolism) |
| Fair Cash-Pay New-Patient Benchmark | $212.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Houston, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $212.00 avg paid • 18 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.22/5 Modern Labs | Vanderbilt University School of Medicine Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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Completed hybrid follow-up with Dr. Castellano (MD) — $223 cash rate and 21 min lobby turnaround.