Dr. Whitney Nelson, MD
16200 Sand Canyon Ave, Irvine, CA 92618 • +1-587-555-6510
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Irvine Percentiles
NPI #1265973523 • CBSA Regional • Hospitalist
Anchored in Irvine, CA 92618, Dr. Whitney Nelson, MD (NPI 1265973523) logged 791 annual procedures (focused low-volume boutique caseload (23.08th Irvine percentile), 28.31th CA percentile, -0.08σ) with sub-specialty concentration in 12 Active CMS HCPCS Codes.
Procedural volume for Dr. Nelson is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 356 annual services, $195–$268 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 206/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 103/yr).
Self-pay new patient consultations with Dr. Nelson (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with in-person clinic visits only, 11-minute average reception wait, and a 4.92/5 modern protocol openness score across 9 patient logs.
From 16200 Sand Canyon Ave in Irvine (+1-587-555-6510), Dr. Nelson, MD (25-year clinical track record) delivers 12 Active CMS HCPCS Codes care.
Compared against Irvine, CA Hospitalist peers
791 annual services across 267 beneficiaries
Standard deviations from CA Hospitalist 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 | 356 | 23.08th | $195 – $268 |
| 99213 | Established Preventive & Chronic Care Visit | 206 | 25.08th | $149 – $205 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 103 | 27.08th | $71 – $98 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 79 | 27.08th | $229 – $314 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 47 | 25.08th | $272 – $372 |
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Dr. Whitney Nelson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nelson National Provider Identifier | NPI #1265973523 (MD) | CMS NPPES Registry (92618) |
| Dr. Nelson Irvine CMS Volume Rank | 23.08th Pct (791 CMS svcs; Z -0.080σ) | CMS Medicare Part B (CA Hospitalist) |
| 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 • 11 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.58/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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