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Gastroenterology • San Antonio, TX 78229 • NPI #1629185616

Dr. Alfredo Espinoza, MD

5223 Hamilton Wolfe Rd, San Antonio, TX 78229 • +1-409-555-7934

Medical Education: Accredited U.S. Medical School (Class of 2017)

29 Active CMS HCPCS Codes
4.75/5
Waiting-Room Score
22 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & San Antonio Percentiles

NPI #1629185616 • CBSA Regional • Gastroenterology

Dr. Alfredo Espinoza DotMD Verification Badge

Statistical peer benchmarking across TX Gastroenterology providers positions Dr. Alfredo Espinoza, MD in San Antonio at -0.15σ (43.18th city percentile / 65.46th state percentile, 371 Medicare beneficiaries), with clinical focus spanning 29 Active CMS HCPCS Codes.

Fee-schedule auditing of NPI 1629185616 highlights 801 annual claims for 99214 (43.18th San Antonio percentile; $84–$115 self-pay corridor) plus 541 encounters under 45380 and 455 under 43239.

Self-pay new patient consultations with Dr. Espinoza (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 4.78/5 modern protocol openness score across 22 patient logs.

Spanning 9 years of clinical practice following 2017 graduation from medical training, Dr. Alfredo Espinoza integrates 29 Active CMS HCPCS Codes diagnostics for San Antonio metro patients.

San Antonio Percentile 43.18th

Compared against San Antonio, TX Gastroenterology peers

TX State Percentile 65.46th

2,165 annual services across 371 beneficiaries

Regional Volume Z-Score -0.146σ

Standard deviations from TX Gastroenterology mean utilization

Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks

HCPCS Clinical Procedure Description Annual Volume Local Pct Est. Cash Range
99214 Established Gastroenterology, GERD & IBD Evaluation 801 43.18th $84 – $115
45380 Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy 541 43.18th $202 – $277
43239 Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy 455 39.18th $168 – $230
45385 Colonoscopy w/ Snare Polypectomy Lesion Removal 217 42.18th $225 – $308
99204 New Patient Digestive & Hepatology Consultation 152 46.18th $118 – $162
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Dr. Alfredo Espinoza, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Espinoza National Provider Identifier NPI #1629185616 (MD) CMS NPPES Registry (78229)
Dr. Espinoza San Antonio CMS Volume Rank 43.18th Pct (2,165 CMS svcs; Z -0.146σ) CMS Medicare Part B (TX Gastroenterology)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (San Antonio, TX)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 14 min lobby wait 22 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.78/5 Listening • 4.78/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
14 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.78/5
Patient communication rating
Modern Protocol Openness
4.78/5
Preventive labs, GLP-1s & HRT
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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