Dr. James Higgins, MD
15503 Ventura Blvd Ste 170, Encino, CA 91436 • +1-523-555-3963
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Encino Percentiles
NPI #1982781191 • CBSA Regional • Cardiology
CMS Medicare Part B utilization records credit Dr. James Higgins (MD, NPI 1982781191) at 15503 Ventura Blvd Ste 170 in Encino with 4,429 annual clinical services (781 beneficiaries), corresponding to a -0.12σ regional deviation and mid-cohort balanced caseload (60th Encino percentile) with sub-specialty concentration in 39 Active CMS HCPCS Codes.
Dr. Higgins's longitudinal care intensity (5.7 billed units per patient across 781 individuals) centers on 99214 (1683 annual units) and 93000 ($83–$114 cash range).
Cash-pay intake data for NPI 1982781191 (15503 Ventura Blvd Ste 170, Encino) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 11-minute average reception wait and 4.93/5 biomarker openness.
Credentialed as an MD specialist with 17 years post-graduation experience since completing medical school at an LCME/COCA institution (2009), Dr. Higgins coordinates 39 Active CMS HCPCS Codes workups from 15503 Ventura Blvd Ste 170 (+1-523-555-3963).
Compared against Encino, CA Cardiology peers
4,429 annual services across 781 beneficiaries
Standard deviations from CA 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 | Established Cardiology Consultation & Hemodynamic Review | 1,683 | 60th | $212 – $291 |
| 93000 | 12-Lead Resting Electrocardiogram (ECG) w/ Interpretation | 1,240 | 64th | $83 – $114 |
| 93306 | Complete Transthoracic Echocardiography w/ Doppler & Color Flow | 797 | 64th | $397 – $544 |
| 93224 | 24-Hour Ambulatory ECG Rhythm Monitoring & Analysis | 443 | 63th | $249 – $342 |
| 99204 | Comprehensive New Patient Cardiovascular Risk Evaluation | 266 | 57th | $305 – $418 |
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Dr. James Higgins, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Higgins National Provider Identifier | NPI #1982781191 (MD) | CMS NPPES Registry (91436) |
| Dr. Higgins Encino CMS Volume Rank | 60.00th Pct (4,429 CMS svcs; Z -0.119σ) | CMS Medicare Part B (CA Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Encino, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 11 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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