Dr. Nelio Guzman Aguayo, MD
105 W 8th Ave, Suite 7060, Spokane, WA 99204 • +1-846-555-9486
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Spokane Percentiles
NPI #1124266184 • CBSA Regional • Nephrology
Dr. Nelio Guzman Aguayo, MD (NPI #1124266184) practices Nephrology in Spokane, WA (99204) with sub-specialty concentration in 16 Active CMS HCPCS Codes, recording 816 annual CMS services across 250 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (54.55th Spokane percentile) (-0.45σ vs WA state mean, 13.27th statewide percentile).
Medicare Part B line-item claims for Dr. Nelio Guzman Aguayo (99204) place 99214 at the top of the practice ledger (392 yearly units, 54.55th metro rank), rounded out by 90960 and 99215.
At 105 W 8th Ave, Suite 7060 (99204), Dr. Nelio Guzman Aguayo, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$222.00 per new consult (4.93/5 bedside rating).
Patients evaluating Dr. Nelio Guzman Aguayo in ZIP 99204 note 21 years of post-doctoral tenure (null, 2005) alongside 3.3 annual CMS procedures per patient.
Compared against Spokane, WA Nephrology peers
816 annual services across 250 beneficiaries
Standard deviations from WA Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 392 | 54.55th | $153 – $210 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 180 | 57.55th | $307 – $420 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 147 | 59.55th | $224 – $306 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 98 | 57.55th | $211 – $289 |
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Dr. Nelio Guzman Aguayo, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Guzman Aguayo National Provider Identifier | NPI #1124266184 (MD) | CMS NPPES Registry (99204) |
| Dr. Guzman Aguayo Spokane CMS Volume Rank | 54.55th Pct (816 CMS svcs; Z -0.452σ) | CMS Medicare Part B (WA Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Spokane, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 22 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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