Dr. Franklin Tsai, MD
10666 N Torrey Pines Rd, LA Jolla, CA 92037 • +1-775-555-8631
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & LA Jolla Percentiles
NPI #1972780120 • CBSA Regional • Gastroenterology
Anchored in LA Jolla, CA 92037, Dr. Franklin Tsai, MD (NPI 1972780120) logged 1,371 annual procedures (mid-cohort balanced caseload (58.82th LA Jolla percentile), 59.45th CA percentile, -0.17σ) with sub-specialty concentration in 36 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1972780120 highlights 507 annual claims for 99214 (58.82th LA Jolla percentile; $158–$216 self-pay corridor) plus 343 encounters under 45380 and 288 under 43239.
Direct cash-pay transparency modeling sets Dr. Tsai's baseline new-consult rate near $239.00 in LA Jolla, CA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 17-minute average reception wait).
NPI registry verification (#1972780120) confirms Dr. Franklin Tsai's MD standing serving CBSA 92037 with a 4.94/5 patient scorecard.
Compared against LA Jolla, CA Gastroenterology peers
1,371 annual services across 479 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 | 507 | 58.82th | $158 – $216 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 343 | 62.82th | $380 – $521 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 288 | 61.82th | $315 – $432 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 137 | 63.82th | $423 – $580 |
| 99204 | New Patient Digestive & Hepatology Consultation | 96 | 60.82th | $222 – $305 |
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Dr. Franklin Tsai, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Tsai National Provider Identifier | NPI #1972780120 (MD) | CMS NPPES Registry (92037) |
| Dr. Tsai LA Jolla CMS Volume Rank | 58.82th Pct (1,371 CMS svcs; Z -0.175σ) | CMS Medicare Part B (CA Gastroenterology) |
| 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 • 17 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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