Dr. Hilton Franqui-Rivera , M.D.
Fair / StandardAligned with Customary Rates
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.
Balanced Practice
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.
Appointment Length & Visit Style
Clinical appointment coding analysis across standard patient evaluations
Dr. Franqui-Rivera provides standard-duration consultations averaging approximately 27 minutes per visit, aligned with typical medical practice guidelines.
Pricing Transparency & Fee Comparison
How this provider bills compared to standard insurance benchmarks
Dr. Franqui-Rivera's billed charges align closely with standard customary rates. If you have insurance, negotiated rates will apply. For self-paying, uninsured, or out-of-network care, this doctor's billing practices reflect customary and modest fees.
Verified Clinical Procedures & Surgical Focus
Official annual procedure volumes, customary fee comparisons, and clinical focus areas.
| Clinical Procedure & Code | Annual Services | Doctor Charge | Peer Norm | Standard Baseline | vs. Peer Norm |
|---|---|---|---|---|---|
CPT 93288 | 59 | $57.25 | $96.00 | $56.47 | 0.6x |
CPT 93000 | 51 | $14.57 | $59.00 | $14.34 | 0.25x |
CPT 99213 | 29 | $90.82 | $168.44 | $89.37 | 0.54x |
CPT 99203 | 25 | $112.84 | $234.50 | $111.05 | 0.48x |
CPT 93289 | 21 | $73.79 | $150.00 | $72.63 | 0.49x |
CPT 93227 | 14 | $18.91 | $82.00 | $18.01 | 0.23x |
CPT 93280 | 13 | $80.65 | $154.00 | $79.46 | 0.52x |
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👨⚕️ Physician & Medical Billing Intelligence (Click to view professional coding data)Expand ↓
This section provides clinical practice analytics for healthcare administrators, billing coders, and peer physicians evaluating practice benchmarks:
Estimated appointment time calculation: 27 minutes. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.
Gross charge multiplier: 1.02x. Useful for fee schedule alignment, out-of-network charge master analysis, and payer contract negotiations.
Patient Guidance: What to Ask Before Your Appointment
- In-Network Confirmation: Confirm directly with your insurance plan that Dr. Franqui-Rivera participates in your specific network tier.
- Surgical Facility Fees: If having surgery, verify whether it will be in a hospital or an outpatient surgery center. Facility charges are billed separately from physician fees.
- Written Estimates: If you are paying out of pocket or have a high deductible, request a written good-faith estimate before major treatments.