Dr. Brian Vial, MD
10425 Huffmeister Road Suite 320, Houston, TX 77065 • +1-769-555-1663
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Houston Percentiles
NPI #1295155570 • CBSA 26420 • Hand Surgery
Operating out of Houston, TX (10425 Huffmeister Road Suite 320), Hand Surgery clinician Dr. Brian Vial, MD (accredited MD/DO training, 1994) maintains a upper-quartile active clinical volume (83.33th Houston percentile) (95.24th TX percentile; Z-score +2.36σ across 10,145 documented services) with sub-specialty concentration in 77 Active CMS HCPCS Codes.
Dr. Vial's longitudinal care intensity (30.3 billed units per patient across 335 individuals) centers on 99214 (702 annual units) and 99213 ($34–$49 cash range).
Cash-pay intake data for NPI 1295155570 (10425 Huffmeister Road Suite 320, Houston) indicates $212.00 typical out-of-pocket visit spend against a $212.00 locality benchmark, paired with 21-minute average reception wait and 4.62/5 biomarker openness.
Spanning 32 years of clinical practice following 1994 graduation from medical training, Dr. Brian Vial integrates 77 Active CMS HCPCS Codes diagnostics for Houston metro patients.
Compared against Houston, TX Hand Surgery peers
10,145 annual services across 335 beneficiaries
Standard deviations from TX Hand Surgery 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 | 702 | 83.33th | $44 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 405 | 82.33th | $34 – $49 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 203 | 86.33th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 156 | 78.33th | $52 – $71 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 94 | 81.33th | $61 – $84 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (77 HCPCS billing breadth) | 8,586 | 83.33th | $45 – $65 |
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Dr. Brian Vial, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Vial National Provider Identifier | NPI #1295155570 (MD) | CMS NPPES Registry (77065) |
| Dr. Vial Houston CMS Volume Rank | 83.33th Pct (10,145 CMS svcs; Z +2.359σ) | CMS Medicare Part B (TX Hand Surgery) |
| 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 • 21 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.62/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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