Dr. Edward Wilson, DO
1531 Esplanade, Chico, CA 95926 • +1-316-555-4381
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Chico Percentiles
NPI #1376921809 • CBSA Regional • Hospitalist
CMS Medicare Part B utilization records credit Dr. Edward Wilson (DO, NPI 1376921809) at 1531 Esplanade in Chico with 2,072 annual clinical services (580 beneficiaries), corresponding to a -0.00σ regional deviation and upper-quartile active clinical volume (87.5th Chico percentile) with sub-specialty concentration in 11 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1376921809 highlights 932 annual claims for 99214 (87.5th Chico percentile; $182–$249 self-pay corridor) plus 539 encounters under 99213 and 269 under 93000.
Direct cash-pay transparency modeling sets Dr. Wilson's baseline new-consult rate near $239.00 in Chico, CA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 15-minute average reception wait).
Credentialed as an DO specialist with 33 years post-graduation experience since completing medical school at an LCME/COCA institution (1993), Dr. Wilson coordinates 11 Active CMS HCPCS Codes workups from 1531 Esplanade (+1-316-555-4381).
Compared against Chico, CA Hospitalist peers
2,072 annual services across 580 beneficiaries
Standard deviations from CA Hospitalist 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 | 932 | 87.5th | $182 – $249 |
| 99213 | Established Preventive & Chronic Care Visit | 539 | 86.5th | $139 – $190 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 269 | 89.5th | $66 – $91 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 207 | 88.5th | $213 – $292 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 124 | 89.5th | $253 – $346 |
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Dr. Edward Wilson, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wilson National Provider Identifier | NPI #1376921809 (DO) | CMS NPPES Registry (95926) |
| Dr. Wilson Chico CMS Volume Rank | 87.50th Pct (2,072 CMS svcs; Z -0.004σ) | CMS Medicare Part B (CA Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Chico, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 15 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.46/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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