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Endocrinology & Metabolism • Houston, TX 77049 • NPI #1609109272

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)

Polycystic Ovary & Hyperinsulinemic Androgenism Incretin & GLP-1 Obesity Pharmacology
4.23/5
Waiting-Room Score
16 patient logs
$212.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Houston Percentiles

NPI #1609109272 • CBSA 26420 • Endocrinology & Metabolism

Dr. Julian Castellano DotMD Verification Badge

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.

Houston Percentile 16.67th

Compared against Houston, TX Endocrinology & Metabolism peers

TX State Percentile 16.67th

1,127 annual services across 417 beneficiaries

Regional Volume Z-Score -0.823σ

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
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
18 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $212.00
Listens Without Rushing
4.84/5
Patient communication rating
Modern Protocol Openness
4.22/5
Preventive labs, GLP-1s & HRT
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Rating: 5/5 • Recommends Clinic Self-Pay Paid: $199.00 • 16 min lobby wait

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.

Rating: 4/5 • Recommends Clinic Self-Pay Paid: $223.00 • 21 min lobby wait

Completed hybrid follow-up with Dr. Castellano (MD) — $223 cash rate and 21 min lobby turnaround.