Dr. Ashton Schwerin Ramirez, MD
6379 Center DR, Norfolk, VA 23502 • +1-607-555-9769
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Norfolk Percentiles
NPI #1609238997 • CBSA Regional • Emergency Medicine
Dr. Ashton Schwerin Ramirez, MD (NPI #1609238997) practices Emergency Medicine in Norfolk, VA (23502) with sub-specialty concentration in 24 Active CMS HCPCS Codes, recording 685 annual CMS services across 632 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (15.38th Norfolk percentile) (-0.38σ vs VA state mean, 20th statewide percentile).
Procedural volume for Dr. Schwerin Ramirez is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 308 annual services, $255–$349 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 178/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 89/yr).
Uninsured and high-deductible cash patients visiting Dr. Ashton Schwerin Ramirez in Norfolk (23502) face an estimated $209.00 initial evaluation fee at 6379 Center DR (in-person clinic visits only; 12-minute average reception wait; bedside manner 4.60/5 from 24 verified reports).
Clinical background for Dr. Schwerin Ramirez (MD, NPI #1609238997) includes accredited doctoral training (2016, 10 yrs in practice) and dedicated on-site consultations at 6379 Center DR.
Compared against Norfolk, VA Emergency Medicine peers
685 annual services across 632 beneficiaries
Standard deviations from VA Emergency 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 | 308 | 15.38th | $255 – $349 |
| 99213 | Established Preventive & Chronic Care Visit | 178 | 16.38th | $195 – $267 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 89 | 13.38th | $93 – $127 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 69 | 14.38th | $299 – $410 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 41 | 16.38th | $354 – $485 |
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Dr. Ashton Schwerin Ramirez, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Schwerin Ramirez National Provider Identifier | NPI #1609238997 (MD) | CMS NPPES Registry (23502) |
| Dr. Schwerin Ramirez Norfolk CMS Volume Rank | 15.38th Pct (685 CMS svcs; Z -0.384σ) | CMS Medicare Part B (VA Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Norfolk, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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