Dr. Nelson Garay, MD
1701 Island, Laredo, TX 78041 • +1-504-555-4869
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Laredo Percentiles
NPI #1154795284 • CBSA Regional • Family Practice
Operating out of Laredo, TX (1701 Island), Family Practice clinician Dr. Nelson Garay, MD (accredited MD/DO training, 2000) maintains a upper-quartile active clinical volume (66.67th Laredo percentile) (65.04th TX percentile; Z-score -0.15σ across 2,232 documented services) with sub-specialty concentration in 26 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Nelson Garay (78041) place 99214 at the top of the practice ledger (937 yearly units, 66.67th metro rank), rounded out by 99213 and G0439.
Self-pay new patient consultations with Dr. Garay (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 14-minute average reception wait, and a 4.89/5 modern protocol openness score across 8 patient logs.
From 1701 Island in Laredo (+1-504-555-4869), Dr. Garay, MD (26-year clinical track record) delivers 26 Active CMS HCPCS Codes care.
Compared against Laredo, TX Family Practice peers
2,232 annual services across 175 beneficiaries
Standard deviations from TX Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 937 | 66.67th | $212 – $291 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 692 | 67.67th | $162 – $222 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 268 | 61.67th | $243 – $334 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 201 | 64.67th | $46 – $63 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 134 | 65.67th | $291 – $399 |
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Dr. Nelson Garay, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Garay National Provider Identifier | NPI #1154795284 (MD) | CMS NPPES Registry (78041) |
| Dr. Garay Laredo CMS Volume Rank | 66.67th Pct (2,232 CMS svcs; Z -0.149σ) | CMS Medicare Part B (TX Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Laredo, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.55/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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