Dr. Wesley Shih, MD
354 Santa Fe DR, Encinitas, CA 92024 • +1-960-555-1193
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Encinitas Percentiles
NPI #1013939420 • CBSA Regional • Internal Medicine
Dr. Wesley Shih, MD (NPI #1013939420) practices Internal Medicine in Encinitas, CA (92024) with sub-specialty concentration in 9 Active CMS HCPCS Codes, recording 989 annual CMS services across 431 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (44.12th Encinitas percentile) (-0.10σ vs CA state mean, 28.81th statewide percentile).
Fee-schedule auditing of NPI 1013939420 highlights 445 annual claims for 99214 (44.12th Encinitas percentile; $222–$305 self-pay corridor) plus 257 encounters under 99213 and 129 under 93000.
Direct cash-pay transparency modeling sets Dr. Shih's baseline new-consult rate near $239.00 in Encinitas, CA (cash-pay accepted, in-person clinic visits only, 9-minute average reception wait).
From 354 Santa Fe DR in Encinitas (+1-960-555-1193), Dr. Shih, MD (13-year clinical track record) delivers 9 Active CMS HCPCS Codes care.
Compared against Encinitas, CA Internal Medicine peers
989 annual services across 431 beneficiaries
Standard deviations from CA Internal 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 | 445 | 44.12th | $222 – $305 |
| 99213 | Established Preventive & Chronic Care Visit | 257 | 45.12th | $170 – $233 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 129 | 48.12th | $81 – $111 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 99 | 48.12th | $261 – $357 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 59 | 48.12th | $309 – $424 |
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Dr. Wesley Shih, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shih National Provider Identifier | NPI #1013939420 (MD) | CMS NPPES Registry (92024) |
| Dr. Shih Encinitas CMS Volume Rank | 44.12th Pct (989 CMS svcs; Z -0.099σ) | CMS Medicare Part B (CA Internal 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 • 9 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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