Family Practice • Mcallen, TX 78504 • NPI #1538190244

Dr. Samuel Ramirez, MD

5201 N 10th, Mcallen, TX 78504 • +1-343-555-9942

Medical Education: Accredited U.S. Medical School (Class of 2011)

81 Active CMS HCPCS Codes
4.82/5
Waiting-Room Score
13 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Mcallen Percentiles

NPI #1538190244 • CBSA Regional • Family Practice

Dr. Samuel Ramirez DotMD Verification Badge

Dr. Samuel Ramirez, MD (NPI #1538190244) practices Family Practice in Mcallen, TX (78504) with sub-specialty concentration in 81 Active CMS HCPCS Codes, recording 2,793 annual CMS services across 339 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (69.7th Mcallen percentile) (-0.07σ vs TX state mean, 72.76th statewide percentile).

Fee-schedule auditing of NPI 1538190244 highlights 1135 annual claims for 99214 (69.7th Mcallen percentile; $43–$60 self-pay corridor) plus 838 encounters under 99213 and 324 under G0439.

Uninsured and high-deductible cash patients visiting Dr. Samuel Ramirez in Mcallen (78504) face an estimated $209.00 initial evaluation fee at 5201 N 10th (hybrid in-clinic and telehealth video consults; 21-minute average reception wait; bedside manner 4.65/5 from 13 verified reports).

NPI registry verification (#1538190244) confirms Dr. Samuel Ramirez's MD standing serving CBSA 78504 with a 4.82/5 patient scorecard.

Mcallen Percentile 69.70th

Compared against Mcallen, TX Family Practice peers

TX State Percentile 72.76th

2,793 annual services across 339 beneficiaries

Regional Volume Z-Score -0.065σ

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 1,135 69.7th $43 – $60
99213 Focused Acute & Preventive Primary Care Evaluation 838 72.7th $33 – $48
G0439 Annual Wellness Biomarker & Preventive Screening Visit 324 70.7th $50 – $68
36415 Routine Venipuncture Blood Biomarker Collection 243 70.7th $25 – $40
99204 New Patient Primary Care Intake & Diagnostic Plan 162 66.7th $60 – $82
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (81 HCPCS billing breadth) 91 69.7th $45 – $65
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Dr. Samuel Ramirez, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Ramirez National Provider Identifier NPI #1538190244 (MD) CMS NPPES Registry (78504)
Dr. Ramirez Mcallen CMS Volume Rank 69.70th Pct (2,793 CMS svcs; Z -0.065σ) 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 • 21 min lobby wait 13 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.65/5 Listening • 4.78/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
21 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.65/5
Patient communication rating
Modern Protocol Openness
4.78/5
Preventive labs, GLP-1s & HRT
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