Dr. Juan Guardia, MD
1901 S 1st St, Ste 600, Mcallen, TX 78503 • +1-764-555-6531
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Mcallen Percentiles
NPI #1407855224 • CBSA Regional • Nephrology
Dr. Juan Guardia, MD (NPI #1407855224) practices Nephrology in Mcallen, TX (78503) with sub-specialty concentration in 19 Active CMS HCPCS Codes, recording 1,079 annual CMS services across 283 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (40th Mcallen percentile) (-0.37σ vs TX state mean, 21.41th statewide percentile).
Fee-schedule auditing of NPI 1407855224 highlights 518 annual claims for 99214 (40th Mcallen percentile; $228–$313 self-pay corridor) plus 237 encounters under 90960 and 194 under 99215.
Uninsured and high-deductible cash patients visiting Dr. Juan Guardia in Mcallen (78503) face an estimated $209.00 initial evaluation fee at 1901 S 1st St, Ste 600 (hybrid in-clinic and telehealth video consults; 19-minute average reception wait; bedside manner 4.66/5 from 25 verified reports).
Spanning 18 years of clinical practice following 2008 graduation from medical training, Dr. Juan Guardia integrates 19 Active CMS HCPCS Codes diagnostics for Mcallen metro patients.
Compared against Mcallen, TX Nephrology peers
1,079 annual services across 283 beneficiaries
Standard deviations from TX Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 518 | 40th | $228 – $313 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 237 | 43th | $456 – $625 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 194 | 38th | $333 – $456 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 129 | 37th | $314 – $430 |
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Dr. Juan Guardia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Guardia National Provider Identifier | NPI #1407855224 (MD) | CMS NPPES Registry (78503) |
| Dr. Guardia Mcallen CMS Volume Rank | 40.00th Pct (1,079 CMS svcs; Z -0.366σ) | CMS Medicare Part B (TX Nephrology) |
| 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 • 19 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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