Dr. Dickran Gulesserian, MD
1275 E Spruce Ave, Suite 101, Fresno, CA 93720 • +1-227-555-2470
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Fresno Percentiles
NPI #1336287440 • CBSA Regional • Internal Medicine
Dr. Dickran Gulesserian, MD (NPI #1336287440) practices Internal Medicine in Fresno, CA (93720) with sub-specialty concentration in 75 Active CMS HCPCS Codes, recording 41,023 annual CMS services across 962 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (97.83th percentile in Fresno) (+1.08σ vs CA state mean, 98.97th statewide percentile).
Fee-schedule auditing of NPI 1336287440 highlights 4255 annual claims for 99214 (97.83th Fresno percentile; $50–$68 self-pay corridor) plus 2458 encounters under 99213 and 1229 under 93000.
Direct cash-pay transparency modeling sets Dr. Gulesserian's baseline new-consult rate near $239.00 in Fresno, CA (cash-pay accepted, in-person clinic visits only, 13-minute average reception wait).
Patients evaluating Dr. Dickran Gulesserian in ZIP 93720 note 13 years of post-doctoral tenure (null, 2013) alongside 42.6 annual CMS procedures per patient.
Top 10% Internal Medicine volume leader in Fresno, CA
41,023 annual services across 962 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 | 4,255 | 97.83th | $50 – $68 |
| 99213 | Established Preventive & Chronic Care Visit | 2,458 | 94.83th | $38 – $53 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 1,229 | 97.83th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 946 | 97.83th | $58 – $80 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 567 | 93.83th | $69 – $94 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (75 HCPCS billing breadth) | 31,568 | 97.83th | $45 – $65 |
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Dr. Dickran Gulesserian, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gulesserian National Provider Identifier | NPI #1336287440 (MD) | CMS NPPES Registry (93720) |
| Dr. Gulesserian Fresno CMS Volume Rank | 97.83th Pct (41,023 CMS svcs; Z +1.080σ) | CMS Medicare Part B (CA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fresno, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 13 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.94/5 Listening • 4.90/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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