Dr. Thomas Ence, MD
207 W Legion Rd, Brawley, CA 92227 • +1-739-555-8525
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Brawley Percentiles
NPI #1821418559 • CBSA Regional • Emergency Medicine
Dr. Thomas Ence, MD (NPI #1821418559) practices Emergency Medicine in Brawley, CA (92227) with sub-specialty concentration in 26 Active CMS HCPCS Codes, recording 702 annual CMS services across 453 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Brawley) (-0.27σ vs CA state mean, 16.12th statewide percentile).
Procedural volume for Dr. Ence is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 316 annual services, $211–$289 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 183/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 91/yr).
Uninsured and high-deductible cash patients visiting Dr. Thomas Ence in Brawley (92227) face an estimated $239.00 initial evaluation fee at 207 W Legion Rd (in-person clinic visits only; 21-minute average reception wait; bedside manner 4.61/5 from 9 verified reports).
Patients evaluating Dr. Thomas Ence in ZIP 92227 note 22 years of post-doctoral tenure (null, 2004) alongside 1.5 annual CMS procedures per patient.
Top 10% Emergency Medicine volume leader in Brawley, CA
702 annual services across 453 beneficiaries
Standard deviations from CA Emergency 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 | 316 | 99th | $211 – $289 |
| 99213 | Established Preventive & Chronic Care Visit | 183 | 95th | $162 – $221 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 91 | 96th | $77 – $106 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 70 | 99.5th | $248 – $340 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 42 | 99.5th | $294 – $402 |
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Dr. Thomas Ence, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ence National Provider Identifier | NPI #1821418559 (MD) | CMS NPPES Registry (92227) |
| Dr. Ence Brawley CMS Volume Rank | 99.00th Pct (702 CMS svcs; Z -0.269σ) | CMS Medicare Part B (CA Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Brawley, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 21 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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