Dr. Alejandro Garcia, MD
1531 S Madison St, Appleton, WI 54915 • +1-678-555-4480
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Appleton Percentiles
NPI #1073703153 • CBSA Regional • Sports Medicine
Operating out of Appleton, WI (1531 S Madison St), Sports Medicine clinician Dr. Alejandro Garcia, MD (accredited MD/DO training, 2018) maintains a upper-quartile active clinical volume (75th Appleton percentile) (72.73th WI percentile; Z-score +0.05σ across 7,516 documented services) with sub-specialty concentration in 49 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Alejandro Garcia (54915) place 99214 at the top of the practice ledger (489 yearly units, 75th metro rank), rounded out by 99213 and 93000.
For out-of-network patients contacting +1-678-555-4480, Dr. Garcia's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.59/5 composite reality score over 26 submissions).
NPI registry verification (#1073703153) confirms Dr. Alejandro Garcia's MD standing serving CBSA 54915 with a 4.59/5 patient scorecard.
Compared against Appleton, WI Sports Medicine peers
7,516 annual services across 157 beneficiaries
Standard deviations from WI Sports 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 | 489 | 75th | $43 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 283 | 71th | $33 – $48 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 141 | 74th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 109 | 72th | $51 – $70 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 65 | 74th | $60 – $83 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (49 HCPCS billing breadth) | 6,429 | 75th | $45 – $65 |
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Dr. Alejandro Garcia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Garcia National Provider Identifier | NPI #1073703153 (MD) | CMS NPPES Registry (54915) |
| Dr. Garcia Appleton CMS Volume Rank | 75.00th Pct (7,516 CMS svcs; Z +0.047σ) | CMS Medicare Part B (WI Sports Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Appleton, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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