Dr. Nali Spencer, MD
6363 San Felipe St Apt 150, Houston, TX 77057 • +1-698-555-4633
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Houston Percentiles
NPI #1518910223 • CBSA 26420 • Internal Medicine
Within the Houston, TX (CBSA 26420) Internal Medicine cohort, Dr. Nali Spencer, MD with sub-specialty concentration in 28 Active CMS HCPCS Codes ranks at the 29.2th municipal percentile and 26.32th TX percentile (-0.21σ Z-score) based on 933 billed procedures for 298 patients.
Granular CPT/HCPCS billing distribution at 6363 San Felipe St Apt 150 shows Dr. Nali Spencer's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 391x/yr, 29.2th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 226x/yr, $114–$156).
Cash-pay intake data for NPI 1518910223 (6363 San Felipe St Apt 150, Houston) indicates $212.00 typical out-of-pocket visit spend against a $212.00 locality benchmark, paired with 18-minute average reception wait and 4.71/5 biomarker openness.
Patients evaluating Dr. Nali Spencer in ZIP 77057 note 11 years of post-doctoral tenure (null, 2015) alongside 3.1 annual CMS procedures per patient.
Compared against Houston, TX Internal Medicine peers
933 annual services across 298 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 | 391 | 29.2th | $149 – $204 |
| 99213 | Established Preventive & Chronic Care Visit | 226 | 32.2th | $114 – $156 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 113 | 28.2th | $54 – $74 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 87 | 26.2th | $175 – $239 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 52 | 24.2th | $207 – $284 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (28 HCPCS billing breadth) | 64 | 29.2th | $134 – $194 |
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Dr. Nali Spencer, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spencer National Provider Identifier | NPI #1518910223 (MD) | CMS NPPES Registry (77057) |
| Dr. Spencer Houston CMS Volume Rank | 29.20th Pct (933 CMS svcs; Z -0.215σ) | CMS Medicare Part B (TX Internal Medicine) |
| 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 | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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