Dr. Joshua Romanu, MD
16200 Sand Canyon Ave, Irvine, CA 92618 • +1-587-555-8944
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Irvine Percentiles
NPI #1609339878 • CBSA Regional • Emergency Medicine
Dr. Joshua Romanu, MD (NPI #1609339878) practices Emergency Medicine in Irvine, CA (92618) with sub-specialty concentration in 31 Active CMS HCPCS Codes, recording 964 annual CMS services across 621 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (37.5th Irvine percentile) (-0.15σ vs CA state mean, 59.59th statewide percentile).
Procedural volume for Dr. Romanu is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 434 annual services, $234–$320 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 251/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 125/yr).
Self-pay new patient consultations with Dr. Romanu (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 12-minute average reception wait, and a 4.83/5 modern protocol openness score across 20 patient logs.
Patients evaluating Dr. Joshua Romanu in ZIP 92618 note 26 years of post-doctoral tenure (null, 2000) alongside 1.6 annual CMS procedures per patient.
Compared against Irvine, CA Emergency Medicine peers
964 annual services across 621 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 | 434 | 37.5th | $234 – $320 |
| 99213 | Established Preventive & Chronic Care Visit | 251 | 40.5th | $179 – $245 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 125 | 32.5th | $85 – $117 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 96 | 41.5th | $274 – $376 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 58 | 33.5th | $325 – $445 |
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Dr. Joshua Romanu, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Romanu National Provider Identifier | NPI #1609339878 (MD) | CMS NPPES Registry (92618) |
| Dr. Romanu Irvine CMS Volume Rank | 37.50th Pct (964 CMS svcs; Z -0.150σ) | CMS Medicare Part B (CA Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Irvine, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 12 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.83/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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