Dr. Larina Gutenberg, DO
5522 Lone Star Pkwy, Bldg 2, Ste 101, San Antonio, TX 78253 • +1-377-555-5958
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & San Antonio Percentiles
NPI #1194994681 • CBSA Regional • Interventional Pain Management
CMS Medicare Part B utilization records credit Dr. Larina Gutenberg (DO, NPI 1194994681) at 5522 Lone Star Pkwy, Bldg 2, Ste 101 in San Antonio with 17,043 annual clinical services (321 beneficiaries), corresponding to a +0.81σ regional deviation and upper-quartile active clinical volume (66.67th San Antonio percentile) with sub-specialty concentration in 42 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1194994681 highlights 1315 annual claims for 99214 (66.67th San Antonio percentile; $43–$60 self-pay corridor) plus 760 encounters under 99213 and 380 under 93000.
At 5522 Lone Star Pkwy, Bldg 2, Ste 101 (78253), Dr. Larina Gutenberg, DO accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.69/5 bedside rating).
Clinical background for Dr. Gutenberg (DO, NPI #1194994681) includes accredited doctoral training (2009, 17 yrs in practice) and virtual + in-office availability across TX.
Compared against San Antonio, TX Interventional Pain Management peers
17,043 annual services across 321 beneficiaries
Standard deviations from TX Interventional Pain Management mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 1,315 | 66.67th | $43 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 760 | 61.67th | $33 – $48 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 380 | 64.67th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 292 | 61.67th | $51 – $70 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 175 | 62.67th | $60 – $83 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (42 HCPCS billing breadth) | 14,120 | 66.67th | $45 – $65 |
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Dr. Larina Gutenberg, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gutenberg National Provider Identifier | NPI #1194994681 (DO) | CMS NPPES Registry (78253) |
| Dr. Gutenberg San Antonio CMS Volume Rank | 66.67th Pct (17,043 CMS svcs; Z +0.809σ) | CMS Medicare Part B (TX Interventional Pain Management) |
| 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 • 10 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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