Dr. Ralph Wagner, MD
124 E Wolters 2nd, Shiner, TX 77984 • +1-930-555-5776
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Shiner Percentiles
NPI #1447231881 • CBSA Regional • Family Practice
Within the Shiner, TX (CBSA local) Family Practice cohort, Dr. Ralph Wagner, MD with sub-specialty concentration in 61 Active CMS HCPCS Codes ranks at the 33.33th municipal percentile and 46.53th TX percentile (-0.26σ Z-score) based on 1,467 billed procedures for 263 patients.
Fee-schedule auditing of NPI 1447231881 highlights 533 annual claims for 99214 (33.33th Shiner percentile; $64–$87 self-pay corridor) plus 393 encounters under 99213 and 152 under G0439.
For out-of-network patients contacting +1-930-555-5776, Dr. Wagner's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.62/5 composite reality score over 25 submissions).
NPI registry verification (#1447231881) confirms Dr. Ralph Wagner's MD standing serving CBSA 77984 with a 4.62/5 patient scorecard.
Compared against Shiner, TX Family Practice peers
1,467 annual services across 263 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 | 533 | 33.33th | $64 – $87 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 393 | 36.33th | $49 – $67 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 152 | 32.33th | $73 – $100 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 114 | 36.33th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 76 | 32.33th | $87 – $120 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (61 HCPCS billing breadth) | 199 | 33.33th | $57 – $83 |
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Dr. Ralph Wagner, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wagner National Provider Identifier | NPI #1447231881 (MD) | CMS NPPES Registry (77984) |
| Dr. Wagner Shiner CMS Volume Rank | 33.33th Pct (1,467 CMS svcs; Z -0.263σ) | CMS Medicare Part B (TX Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Shiner, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.75/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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