Dr. Ladan Silva, MD
17201 I H 45 S, Shenandoah, TX 77385 • +1-318-555-2119
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Shenandoah Percentiles
NPI #1245619568 • CBSA Regional • Internal Medicine
Anchored in Shenandoah, TX 77385, Dr. Ladan Silva, MD (NPI 1245619568) logged 1,301 annual procedures (mid-cohort balanced caseload (48.39th Shenandoah percentile), 45.28th TX percentile, -0.19σ) with sub-specialty concentration in 12 Active CMS HCPCS Codes.
Procedural volume for Dr. Silva is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 585 annual services, $224–$307 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 338/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 169/yr).
Self-pay new patient consultations with Dr. Silva (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 16-minute average reception wait, and a 4.47/5 modern protocol openness score across 16 patient logs.
Clinical background for Dr. Silva (MD, NPI #1245619568) includes accredited doctoral training (2002, 24 yrs in practice) and virtual + in-office availability across TX.
Compared against Shenandoah, TX Internal Medicine peers
1,301 annual services across 886 beneficiaries
Standard deviations from TX Internal Medicine 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 | 585 | 48.39th | $224 – $307 |
| 99213 | Established Preventive & Chronic Care Visit | 338 | 53.39th | $171 – $235 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 169 | 43.39th | $82 – $112 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 130 | 53.39th | $263 – $360 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 78 | 43.39th | $312 – $427 |
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Dr. Ladan Silva, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Silva National Provider Identifier | NPI #1245619568 (MD) | CMS NPPES Registry (77385) |
| Dr. Silva Shenandoah CMS Volume Rank | 48.39th Pct (1,301 CMS svcs; Z -0.189σ) | CMS Medicare Part B (TX Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Shenandoah, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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