Dr. Miguel Sanchez Rivas, MD
110 E. Savannah Ave, Bldg B Ste 203, Mcallen, TX 78503 • +1-764-555-4238
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Mcallen Percentiles
NPI #1851827166 • CBSA Regional • Family Practice
Dr. Miguel Sanchez Rivas, MD (NPI #1851827166) practices Family Practice in Mcallen, TX (78503) with sub-specialty concentration in 12 Active CMS HCPCS Codes, recording 968 annual CMS services across 152 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (12.12th Mcallen percentile) (-0.34σ vs TX state mean, 24.79th statewide percentile).
Dr. Sanchez Rivas's longitudinal care intensity (6.4 billed units per patient across 152 individuals) centers on 99214 (407 annual units) and 99213 ($113–$154 cash range).
Self-pay new patient consultations with Dr. Sanchez Rivas (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 22-minute average reception wait, and a 4.53/5 modern protocol openness score across 6 patient logs.
NPI registry verification (#1851827166) confirms Dr. Miguel Sanchez Rivas's MD standing serving CBSA 78503 with a 4.75/5 patient scorecard.
Compared against Mcallen, TX Family Practice peers
968 annual services across 152 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 | 407 | 12.12th | $147 – $202 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 300 | 12th | $113 – $154 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 116 | 13.12th | $169 – $231 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 87 | 14.12th | $32 – $47 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 58 | 14.12th | $202 – $277 |
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Dr. Miguel Sanchez Rivas, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sanchez Rivas National Provider Identifier | NPI #1851827166 (MD) | CMS NPPES Registry (78503) |
| Dr. Sanchez Rivas Mcallen CMS Volume Rank | 12.12th Pct (968 CMS svcs; Z -0.338σ) | CMS Medicare Part B (TX Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mcallen, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.58/5 Listening • 4.53/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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