Dr. Donald St. Claire, MD
1950 University Ave, Suite 160, E Palo Alto, CA 94303 • +1-828-555-1387
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & E Palo Alto Percentiles
NPI #1790719268 • CBSA Regional • Interventional Cardiology
Dr. Donald St. Claire, MD (NPI #1790719268) practices Interventional Cardiology in E Palo Alto, CA (94303) with sub-specialty concentration in 85 Active CMS HCPCS Codes, recording 7,011 annual CMS services across 1,813 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th E Palo Alto percentile) (+0.56σ vs CA state mean, 88.52th statewide percentile).
Fee-schedule auditing of NPI 1790719268 highlights 3004 annual claims for 99214 (12th E Palo Alto percentile; $241–$330 self-pay corridor) plus 1736 encounters under 99213 and 868 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Donald St. Claire in E Palo Alto (94303) face an estimated $239.00 initial evaluation fee at 1950 University Ave, Suite 160 (in-person clinic visits only; 16-minute average reception wait; bedside manner 4.62/5 from 18 verified reports).
Spanning 19 years of clinical practice following 2007 graduation from medical training, Dr. Donald St. Claire integrates 85 Active CMS HCPCS Codes diagnostics for E Palo Alto metro patients.
Compared against E Palo Alto, CA Interventional Cardiology peers
7,011 annual services across 1,813 beneficiaries
Standard deviations from CA Interventional Cardiology 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 | 3,004 | 12th | $241 – $330 |
| 99213 | Established Preventive & Chronic Care Visit | 1,736 | 12th | $184 – $253 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 868 | 12th | $88 – $121 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 668 | 12th | $283 – $388 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 401 | 12th | $335 – $459 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (85 HCPCS billing breadth) | 336 | 0th | $217 – $315 |
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Dr. Donald St. Claire, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. St. Claire National Provider Identifier | NPI #1790719268 (MD) | CMS NPPES Registry (94303) |
| Dr. St. Claire E Palo Alto CMS Volume Rank | 0.00th Pct (7,011 CMS svcs; Z +0.562σ) | CMS Medicare Part B (CA Interventional Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (E Palo Alto, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 16 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.58/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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