Dr. Thavalinh Sphabmixay, MD
1675 Shaffer Rd, Atwater, CA 95301 • +1-945-555-8742
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Atwater Percentiles
NPI #1841445277 • CBSA Regional • Family Practice
Statistical peer benchmarking across CA Family Practice providers positions Dr. Thavalinh Sphabmixay, MD in Atwater at +0.04σ (50th city percentile / 87.86th state percentile, 665 Medicare beneficiaries), with clinical focus spanning 76 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1841445277 highlights 1902 annual claims for 99214 (50th Atwater percentile; $117–$161 self-pay corridor) plus 1404 encounters under 99213 and 543 under G0439.
Uninsured and high-deductible cash patients visiting Dr. Thavalinh Sphabmixay in Atwater (95301) face an estimated $239.00 initial evaluation fee at 1675 Shaffer Rd (in-person clinic visits only; 20-minute average reception wait; bedside manner 4.59/5 from 18 verified reports).
Spanning 10 years of clinical practice following 2016 graduation from medical training, Dr. Thavalinh Sphabmixay integrates 76 Active CMS HCPCS Codes diagnostics for Atwater metro patients.
Compared against Atwater, CA Family Practice peers
5,305 annual services across 665 beneficiaries
Standard deviations from CA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 1,902 | 50th | $117 – $161 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 1,404 | 48th | $90 – $123 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 543 | 53th | $135 – $185 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 408 | 51th | $26 – $41 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 272 | 47th | $161 – $221 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (76 HCPCS billing breadth) | 777 | 50th | $106 – $154 |
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Dr. Thavalinh Sphabmixay, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sphabmixay National Provider Identifier | NPI #1841445277 (MD) | CMS NPPES Registry (95301) |
| Dr. Sphabmixay Atwater CMS Volume Rank | 50.00th Pct (5,305 CMS svcs; Z +0.045σ) | CMS Medicare Part B (CA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Atwater, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 20 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.65/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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