Dr. Alejandra Palmeros-Irvine, MD
21309 Foster Rd, Suite 100, Spring, TX 77388 • +1-746-555-5383
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Spring Percentiles
NPI #1154341915 • CBSA Regional • Family Practice
Within the Spring, TX (CBSA local) Family Practice cohort, Dr. Alejandra Palmeros-Irvine, MD with sub-specialty concentration in 45 Active CMS HCPCS Codes ranks at the 50th municipal percentile and 53.67th TX percentile (-0.23σ Z-score) based on 1,705 billed procedures for 338 patients.
Among 6 tracked CMS fee-schedule codes for Dr. Palmeros-Irvine (averaging 5.0 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 27% of tracked volume (462 encounters), paired with 99213 (341x).
For out-of-network patients contacting +1-746-555-5383, Dr. Palmeros-Irvine's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.71/5 composite reality score over 6 submissions).
NPI registry verification (#1154341915) confirms Dr. Alejandra Palmeros-Irvine's MD standing serving CBSA 77388 with a 4.71/5 patient scorecard.
Compared against Spring, TX Family Practice peers
1,705 annual services across 338 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 | 462 | 50th | $90 – $124 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 341 | 53th | $69 – $95 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 132 | 50th | $104 – $142 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 99 | 45th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 66 | 53th | $124 – $170 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (45 HCPCS billing breadth) | 604 | 50th | $81 – $117 |
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Dr. Alejandra Palmeros-Irvine, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Palmeros-Irvine National Provider Identifier | NPI #1154341915 (MD) | CMS NPPES Registry (77388) |
| Dr. Palmeros-Irvine Spring CMS Volume Rank | 50.00th Pct (1,705 CMS svcs; Z -0.227σ) | CMS Medicare Part B (TX Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Spring, 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 • 4.52/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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