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Doctor vs Doctor Decision Tool

Dr. Rullan Marin vs Dr. Vila Ramirez

Make an informed decision based on verified clinical facts. See which doctor spends more time listening in the exam room and charges fair prices aligned with standard insurance baselines.

Doctor Option ANPI: 1619902582

Dr. Pedro Rullan Marin, MD, FACS

Otolaryngology · San Juan, PR

Consultation Time45 minExtended Visits (40+ mins)
Markup Level1.05xFair / Standard
Annual Visits274Total volume
The Rushed Visit Index

Thorough Listener

~45 min face-time

Consistently devotes longer face-to-face evaluations. Ideal for complex medical concerns, multiple symptoms, or patients who value comprehensive discussion without feeling rushed.

How is appointment length calculated?

Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).

Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.

Fair Pricing Standard

Aligned with Customary Rates

1.1x Markup

This physician's billed charges remain close to standard insurance allowable rates (within 2.5 times baseline). Patients visiting this practice rarely encounter extreme out-of-pocket price inflation.

Doctor Option BNPI: 1013988815

Dr. Raul Vila Ramirez, MD

Otolaryngology · San Juan, PR

Consultation Time27 minStandard (20-30 mins)
Markup Level4.04xHigh Markup
Annual Visits1,691Total volume
The Rushed Visit Index

Balanced Practice

~27 min face-time

Maintains a steady clinical rhythm balancing focused physical examination with patient discussion.

How is appointment length calculated?

Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).

Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.

Financial Protection Alert

Higher Out-of-Pocket Billing Risk

This practice submits charges that average 4.0 times customary allowable rates. If you have not met your annual health insurance deductible, or if this doctor is out-of-network with your health plan, you may face significant balance billing.

3 Steps to Protect Your Wallet:
  • Confirm network status: Call your insurer to confirm this specific physician and office address are in-network.
  • Request in-network labs: Before blood draws or biopsies, ask the nurse to send samples exclusively to an in-network commercial laboratory.
  • Ask for a written estimate: Under the No Surprises Act, you are legally entitled to a Good Faith Estimate if you are self-pay or out-of-network.

🎯 Patient Verdict: Key Differences at a Glance

Face-to-Face Patient Listening:

Dr. Rullan Marin averages 18 more minutes per appointment than Dr. Vila Ramirez. If you prioritize extensive discussion and question time, Dr. Rullan Marin offers a more unhurried experience.

Pricing & Out-of-Pocket Risk:

Dr. Rullan Marin has a lower billing markup (1.05x vs. 4.04x). Patients with high deductibles or out-of-network coverage will likely incur lower balance bills with Dr. Rullan Marin.

Shared Clinical Procedures & Charges Comparison

Procedure DescriptionDr. Rullan Marin ChargeDr. Vila Ramirez ChargeStandard Baseline
Medical Procedure HCPCS $NaN$NaN$188
Medical Procedure HCPCS $NaN$NaN$27
Medical Procedure HCPCS $NaN$NaN$127
Medical Procedure HCPCS $NaN$NaN$178
Medical Procedure HCPCS $NaN$NaN$218
Medical Procedure HCPCS $NaN$NaN$165
Medical Procedure HCPCS $NaN$NaN$130