Dr. Anthony Gualtieri, MD
10496 Katy Fwy Ste 101, Houston, TX 77043 • +1-711-555-5334
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Houston Percentiles
NPI #1154777050 • CBSA 26420 • Orthopedic Surgery
CMS Medicare Part B utilization records credit Dr. Anthony Gualtieri (MD, NPI 1154777050) at 10496 Katy Fwy Ste 101 in Houston with 1,617 annual clinical services (328 beneficiaries), corresponding to a -0.45σ regional deviation and mid-cohort balanced caseload (35.54th Houston percentile) with sub-specialty concentration in 78 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Gualtieri (averaging 4.9 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 24% of tracked volume (380 encounters), paired with 20610 (285x).
For out-of-network patients contacting +1-711-555-5334, Dr. Gualtieri's practice posts a $212.00 GPCI self-pay consult estimate ($212.00 patient-logged median, 4.89/5 composite reality score over 8 submissions).
NPI registry verification (#1154777050) confirms Dr. Anthony Gualtieri's MD standing serving CBSA 26420 with a 4.89/5 patient scorecard.
Compared against Houston, TX Orthopedic Surgery peers
1,617 annual services across 328 beneficiaries
Standard deviations from TX Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 380 | 35.54th | $136 – $187 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 285 | 34.54th | $145 – $199 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 200 | 32.54th | $82 – $112 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 116 | 40.54th | $196 – $268 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 74 | 34.54th | $1260 – $1727 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (78 HCPCS billing breadth) | 562 | 35.54th | $154 – $223 |
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Dr. Anthony Gualtieri, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gualtieri National Provider Identifier | NPI #1154777050 (MD) | CMS NPPES Registry (77043) |
| Dr. Gualtieri Houston CMS Volume Rank | 35.54th Pct (1,617 CMS svcs; Z -0.449σ) | CMS Medicare Part B (TX Orthopedic 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 • 22 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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