Dr. Theresa Bartolome, MD
2176 Salk Ave, Carlsbad, CA 92008 • +1-242-555-3768
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Carlsbad Percentiles
NPI #1184638223 • CBSA Regional • Family Practice
Dr. Theresa Bartolome, MD (NPI #1184638223) practices Family Practice in Carlsbad, CA (92008) with sub-specialty concentration in 33 Active CMS HCPCS Codes, recording 764 annual CMS services across 152 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Carlsbad percentile) (-0.09σ vs CA state mean, 13.47th statewide percentile).
Fee-schedule auditing of NPI 1184638223 highlights 301 annual claims for 99214 (12th Carlsbad percentile; $153–$210 self-pay corridor) plus 222 encounters under 99213 and 86 under G0439.
For out-of-network patients contacting +1-242-555-3768, Dr. Bartolome's practice posts a $239.00 GPCI self-pay consult estimate ($239.00 patient-logged median, 4.80/5 composite reality score over 11 submissions).
Spanning 26 years of clinical practice following 2000 graduation from medical training, Dr. Theresa Bartolome integrates 33 Active CMS HCPCS Codes diagnostics for Carlsbad metro patients.
Compared against Carlsbad, CA Family Practice peers
764 annual services across 152 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 | 301 | 12th | $153 – $210 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 222 | 12th | $117 – $161 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 86 | 12th | $176 – $241 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 65 | 12th | $33 – $48 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 43 | 12th | $211 – $289 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (33 HCPCS billing breadth) | 47 | 0th | $138 – $200 |
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Dr. Theresa Bartolome, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Bartolome National Provider Identifier | NPI #1184638223 (MD) | CMS NPPES Registry (92008) |
| Dr. Bartolome Carlsbad CMS Volume Rank | 0.00th Pct (764 CMS svcs; Z -0.087σ) | CMS Medicare Part B (CA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Carlsbad, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 21 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.95/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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