Dr. Rafael Lopez, MD
351 N Sam Houston Blvd, San Benito, TX 78586 • +1-454-555-4140
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & San Benito Percentiles
NPI #1609873058 • CBSA Regional • Family Practice
Statistical peer benchmarking across TX Family Practice providers positions Dr. Rafael Lopez, MD in San Benito at -0.32σ (60th city percentile / 29.91th state percentile, 144 Medicare beneficiaries), with clinical focus spanning 68 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1609873058 highlights 391 annual claims for 99214 (60th San Benito percentile; $92–$127 self-pay corridor) plus 288 encounters under 99213 and 112 under G0439.
At 351 N Sam Houston Blvd (78586), Dr. Rafael Lopez, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.77/5 bedside rating).
Patients evaluating Dr. Rafael Lopez in ZIP 78586 note 10 years of post-doctoral tenure (null, 2016) alongside 7.4 annual CMS procedures per patient.
Compared against San Benito, TX Family Practice peers
1,062 annual services across 144 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 | 391 | 60th | $92 – $127 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 288 | 55th | $71 – $97 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 112 | 57th | $106 – $145 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 84 | 59th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 56 | 61th | $127 – $174 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (68 HCPCS billing breadth) | 132 | 60th | $83 – $120 |
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Dr. Rafael Lopez, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lopez National Provider Identifier | NPI #1609873058 (MD) | CMS NPPES Registry (78586) |
| Dr. Lopez San Benito CMS Volume Rank | 60.00th Pct (1,062 CMS svcs; Z -0.324σ) | CMS Medicare Part B (TX Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (San Benito, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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