Dr. Ardalan Babaknia, MD
15775 Laguna Canyon Rd, Suite 240, Irvine, CA 92618 • +1-587-555-2046
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Irvine Percentiles
NPI #1366527491 • CBSA Regional • Gastroenterology
CMS Medicare Part B utilization records credit Dr. Ardalan Babaknia (MD, NPI 1366527491) at 15775 Laguna Canyon Rd, Suite 240 in Irvine with 699 annual clinical services (188 beneficiaries), corresponding to a -0.35σ regional deviation and focused low-volume boutique caseload (0th Irvine percentile) with sub-specialty concentration in 16 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Babaknia (averaging 3.7 services per beneficiary), 99214 (Established Gastroenterology, GERD & IBD Evaluation) represents 37% of tracked volume (259 encounters), paired with 45380 (175x).
For out-of-network patients contacting +1-587-555-2046, Dr. Babaknia's practice posts a $239.00 GPCI self-pay consult estimate ($239.00 patient-logged median, 4.91/5 composite reality score over 22 submissions).
Clinical background for Dr. Babaknia (MD, NPI #1366527491) includes accredited doctoral training (2014, 12 yrs in practice) and virtual + in-office availability across CA.
Compared against Irvine, CA Gastroenterology peers
699 annual services across 188 beneficiaries
Standard deviations from CA Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 259 | 12th | $299 – $410 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 175 | 12th | $721 – $988 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 147 | 12th | $598 – $820 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 70 | 12th | $802 – $1100 |
| 99204 | New Patient Digestive & Hepatology Consultation | 49 | 12th | $422 – $578 |
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Dr. Ardalan Babaknia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Babaknia National Provider Identifier | NPI #1366527491 (MD) | CMS NPPES Registry (92618) |
| Dr. Babaknia Irvine CMS Volume Rank | 0.00th Pct (699 CMS svcs; Z -0.351σ) | CMS Medicare Part B (CA Gastroenterology) |
| 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 | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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