Dr. Brian Modena, MD
9850 Genesee Ave Ste 710, LA Jolla, CA 92037 • +1-775-555-4580
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & LA Jolla Percentiles
NPI #1235379207 • CBSA Regional • Allergy/ Immunology
Operating out of LA Jolla, CA (9850 Genesee Ave Ste 710), Allergy/ Immunology clinician Dr. Brian Modena, MD (accredited MD/DO training, 2010) maintains a upper-quartile active clinical volume (66.67th LA Jolla percentile) (98.08th CA percentile; Z-score +2.77σ across 56,198 documented services) with sub-specialty concentration in 50 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1235379207 highlights 2895 annual claims for 99214 (66.67th LA Jolla percentile; $50–$68 self-pay corridor) plus 1673 encounters under 99213 and 836 under 93000.
For out-of-network patients contacting +1-775-555-4580, Dr. Modena's practice posts a $239.00 GPCI self-pay consult estimate ($239.00 patient-logged median, 4.88/5 composite reality score over 15 submissions).
Clinical background for Dr. Modena (MD, NPI #1235379207) includes accredited doctoral training (2010, 16 yrs in practice) and dedicated on-site consultations at 9850 Genesee Ave Ste 710.
Compared against LA Jolla, CA Allergy/ Immunology peers
56,198 annual services across 199 beneficiaries
Standard deviations from CA Allergy/ Immunology 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 | 2,895 | 66.67th | $50 – $68 |
| 99213 | Established Preventive & Chronic Care Visit | 1,673 | 66.67th | $38 – $53 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 836 | 68.67th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 643 | 68.67th | $58 – $80 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 386 | 63.67th | $69 – $94 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (50 HCPCS billing breadth) | 49,764 | 66.67th | $45 – $65 |
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Dr. Brian Modena, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Modena National Provider Identifier | NPI #1235379207 (MD) | CMS NPPES Registry (92037) |
| Dr. Modena LA Jolla CMS Volume Rank | 66.67th Pct (56,198 CMS svcs; Z +2.765σ) | CMS Medicare Part B (CA Allergy/ Immunology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (LA Jolla, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 15 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.91/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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