Dr. Athena Philis-Tsimikas, MD
9894 Genesee Ave, LA Jolla, CA 92037 • +1-775-555-3456
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & LA Jolla Percentiles
NPI #1922105964 • CBSA Regional • Endocrinology
Operating out of LA Jolla, CA (9894 Genesee Ave), Endocrinology clinician Dr. Athena Philis-Tsimikas, MD (accredited MD/DO training, 1995) maintains a focused low-volume boutique caseload (0th LA Jolla percentile) (14.63th CA percentile; Z-score -0.58σ across 954 documented services) with sub-specialty concentration in 8 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1922105964 highlights 420 annual claims for 99214 (12th LA Jolla percentile; $52–$71 self-pay corridor) plus 210 encounters under 95251 and 153 under 76536.
Self-pay new patient consultations with Dr. Philis-Tsimikas (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with in-person clinic visits only, 19-minute average reception wait, and a 4.71/5 modern protocol openness score across 3 patient logs.
Patients evaluating Dr. Athena Philis-Tsimikas in ZIP 92037 note 31 years of post-doctoral tenure (null, 1995) alongside 6.2 annual CMS procedures per patient.
Compared against LA Jolla, CA Endocrinology peers
954 annual services across 153 beneficiaries
Standard deviations from CA Endocrinology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Complex Endocrine, Thyroid & Metabolic Biomarker Management | 420 | 12th | $52 – $71 |
| 95251 | Ambulatory Continuous Glucose Monitoring (CGM) Data Analysis | 210 | 12th | $32 – $47 |
| 76536 | High-Resolution Thyroid & Parathyroid Neck Ultrasound | 153 | 12th | $62 – $86 |
| 99204 | Comprehensive New Patient Endocrine & Hormone Workup | 114 | 12th | $71 – $97 |
| 99215 | High-Complexity Multi-Hormone & Insulin Pump Titration | 57 | 12th | $80 – $109 |
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Dr. Athena Philis-Tsimikas, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Philis-Tsimikas National Provider Identifier | NPI #1922105964 (MD) | CMS NPPES Registry (92037) |
| Dr. Philis-Tsimikas LA Jolla CMS Volume Rank | 0.00th Pct (954 CMS svcs; Z -0.577σ) | CMS Medicare Part B (CA Endocrinology) |
| 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 • 19 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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