Dr. Gregory Middleton, MD
9350 Campus Point DR, LA Jolla, CA 92037 • +1-775-555-1426
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & LA Jolla Percentiles
NPI #1104891290 • CBSA Regional • Rheumatology
CMS Medicare Part B utilization records credit Dr. Gregory Middleton (MD, NPI 1104891290) at 9350 Campus Point DR in LA Jolla with 2,567 annual clinical services (1,005 beneficiaries), corresponding to a -0.48σ regional deviation and focused low-volume boutique caseload (30th LA Jolla percentile) with sub-specialty concentration in 20 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Middleton (averaging 2.6 services per beneficiary), 99214 (Autoimmune Arthritis & Biologic/DMARD Safety Evaluation) represents 39% of tracked volume (1001 encounters), paired with 20610 (457x).
For out-of-network patients contacting +1-775-555-1426, Dr. Middleton's practice posts a $239.00 GPCI self-pay consult estimate ($239.00 patient-logged median, 4.90/5 composite reality score over 25 submissions).
Patients evaluating Dr. Gregory Middleton in ZIP 92037 note 24 years of post-doctoral tenure (null, 2002) alongside 2.6 annual CMS procedures per patient.
Compared against LA Jolla, CA Rheumatology peers
2,567 annual services across 1,005 beneficiaries
Standard deviations from CA Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 1,001 | 30th | $112 – $154 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 457 | 32th | $89 – $122 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 327 | 28th | $154 – $211 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 218 | 35th | $117 – $160 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 174 | 30th | $154 – $211 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (20 HCPCS billing breadth) | 390 | 30th | $97 – $141 |
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Dr. Gregory Middleton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Middleton National Provider Identifier | NPI #1104891290 (MD) | CMS NPPES Registry (92037) |
| Dr. Middleton LA Jolla CMS Volume Rank | 30.00th Pct (2,567 CMS svcs; Z -0.477σ) | CMS Medicare Part B (CA Rheumatology) |
| 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 | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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