Dr. Mark Sison, MD
1630 E Herndon Ave, Fresno, CA 93720 • +1-227-555-2182
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Fresno Percentiles
NPI #1275777583 • CBSA Regional • Physical Medicine and Rehabilitation
Operating out of Fresno, CA (1630 E Herndon Ave), Physical Medicine and Rehabilitation clinician Dr. Mark Sison, MD (accredited MD/DO training, 2018) maintains a upper-quartile active clinical volume (70th Fresno percentile) (85.27th CA percentile; Z-score +0.17σ across 7,727 documented services) with sub-specialty concentration in 73 Active CMS HCPCS Codes.
Dr. Sison's longitudinal care intensity (9.4 billed units per patient across 822 individuals) centers on 99214 (1596 annual units) and 99213 ($66–$90 cash range).
Self-pay new patient consultations with Dr. Sison (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 16-minute average reception wait, and a 4.70/5 modern protocol openness score across 8 patient logs.
Clinical background for Dr. Sison (MD, NPI #1275777583) includes accredited doctoral training (2018, 8 yrs in practice) and virtual + in-office availability across CA.
Compared against Fresno, CA Physical Medicine and Rehabilitation peers
7,727 annual services across 822 beneficiaries
Standard deviations from CA Physical Medicine and Rehabilitation 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 | 1,596 | 70th | $86 – $118 |
| 99213 | Established Preventive & Chronic Care Visit | 922 | 74th | $66 – $90 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 461 | 73th | $31 – $46 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 355 | 74th | $101 – $139 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 213 | 67th | $120 – $164 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (73 HCPCS billing breadth) | 4,181 | 70th | $78 – $113 |
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Dr. Mark Sison, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sison National Provider Identifier | NPI #1275777583 (MD) | CMS NPPES Registry (93720) |
| Dr. Sison Fresno CMS Volume Rank | 70.00th Pct (7,727 CMS svcs; Z +0.166σ) | CMS Medicare Part B (CA Physical Medicine and Rehabilitation) |
| 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 • 16 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.85/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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