Dr. Michael Benca, MD
1340 Wonder World DR Ste 4301, San Marcos, TX 78666 • +1-455-555-8011
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & San Marcos Percentiles
NPI #1588774061 • CBSA Regional • Cardiology
Anchored in San Marcos, TX 78666, Dr. Michael Benca, MD (NPI 1588774061) logged 3,130 annual procedures (focused low-volume boutique caseload (25th San Marcos percentile), 55.34th TX percentile, -0.19σ) with sub-specialty concentration in 54 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Michael Benca (78666) place 99214 at the top of the practice ledger (1189 yearly units, 25th metro rank), rounded out by 93000 and 93306.
Direct cash-pay transparency modeling sets Dr. Benca's baseline new-consult rate near $209.00 in San Marcos, TX (cash-pay accepted, in-person clinic visits only, 18-minute average reception wait).
Patients evaluating Dr. Michael Benca in ZIP 78666 note 31 years of post-doctoral tenure (null, 1995) alongside 2.8 annual CMS procedures per patient.
Compared against San Marcos, TX Cardiology peers
3,130 annual services across 1,131 beneficiaries
Standard deviations from TX Cardiology 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 Cardiology Consultation & Hemodynamic Review | 1,189 | 25th | $148 – $203 |
| 93000 | 12-Lead Resting Electrocardiogram (ECG) w/ Interpretation | 876 | 23th | $58 – $80 |
| 93306 | Complete Transthoracic Echocardiography w/ Doppler & Color Flow | 563 | 25th | $278 – $380 |
| 93224 | 24-Hour Ambulatory ECG Rhythm Monitoring & Analysis | 313 | 23th | $174 – $239 |
| 99204 | Comprehensive New Patient Cardiovascular Risk Evaluation | 188 | 22th | $213 – $292 |
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Dr. Michael Benca, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Benca National Provider Identifier | NPI #1588774061 (MD) | CMS NPPES Registry (78666) |
| Dr. Benca San Marcos CMS Volume Rank | 25.00th Pct (3,130 CMS svcs; Z -0.190σ) | CMS Medicare Part B (TX Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (San Marcos, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.82/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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