Dr. Armin Perham, MD
206 4th St, Encinitas, CA 92024 • +1-960-555-8376
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Encinitas Percentiles
NPI #1295855195 • CBSA Regional • Emergency Medicine
Operating out of Encinitas, CA (206 4th St), Emergency Medicine clinician Dr. Armin Perham, MD (accredited MD/DO training, 2018) maintains a focused low-volume boutique caseload (20th Encinitas percentile) (72.33th CA percentile; Z-score -0.09σ across 1,102 documented services) with sub-specialty concentration in 47 Active CMS HCPCS Codes.
Procedural volume for Dr. Perham is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 496 annual services, $285–$391 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 287/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 143/yr).
For out-of-network patients contacting +1-960-555-8376, Dr. Perham's practice posts a $239.00 GPCI self-pay consult estimate ($239.00 patient-logged median, 4.65/5 composite reality score over 20 submissions).
From 206 4th St in Encinitas (+1-960-555-8376), Dr. Perham, MD (8-year clinical track record) delivers 47 Active CMS HCPCS Codes care.
Compared against Encinitas, CA Emergency Medicine peers
1,102 annual services across 963 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 | 496 | 20th | $285 – $391 |
| 99213 | Established Preventive & Chronic Care Visit | 287 | 20th | $218 – $299 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 143 | 19th | $104 – $143 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 110 | 16th | $335 – $459 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 66 | 24th | $397 – $544 |
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Dr. Armin Perham, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Perham National Provider Identifier | NPI #1295855195 (MD) | CMS NPPES Registry (92024) |
| Dr. Perham Encinitas CMS Volume Rank | 20.00th Pct (1,102 CMS svcs; Z -0.087σ) | CMS Medicare Part B (CA Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Encinitas, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 22 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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