Dr. Ryland Melford, MD
24012 Calle De LA Plata, Suite 230, Laguna Hills, CA 92653 • +1-242-555-7950
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Laguna Hills Percentiles
NPI #1598874869 • CBSA Regional • Cardiology
Anchored in Laguna Hills, CA 92653, Dr. Ryland Melford, MD (NPI 1598874869) logged 2,398 annual procedures (focused low-volume boutique caseload (33.33th Laguna Hills percentile), 35.07th CA percentile, -0.27σ) with sub-specialty concentration in 47 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1598874869 highlights 873 annual claims for 99214 (33.33th Laguna Hills percentile; $171–$234 self-pay corridor) plus 643 encounters under 93000 and 414 under 93306.
Self-pay new patient consultations with Dr. Melford (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 9-minute average reception wait, and a 4.76/5 modern protocol openness score across 23 patient logs.
Clinical background for Dr. Melford (MD, NPI #1598874869) includes accredited doctoral training (2000, 26 yrs in practice) and virtual + in-office availability across CA.
Compared against Laguna Hills, CA Cardiology peers
2,398 annual services across 489 beneficiaries
Standard deviations from CA Cardiology 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 Cardiology Consultation & Hemodynamic Review | 873 | 33.33th | $171 – $234 |
| 93000 | 12-Lead Resting Electrocardiogram (ECG) w/ Interpretation | 643 | 33.33th | $67 – $91 |
| 93306 | Complete Transthoracic Echocardiography w/ Doppler & Color Flow | 414 | 32.33th | $319 – $437 |
| 93224 | 24-Hour Ambulatory ECG Rhythm Monitoring & Analysis | 230 | 32.33th | $200 – $274 |
| 99204 | Comprehensive New Patient Cardiovascular Risk Evaluation | 138 | 31.33th | $245 – $335 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (47 HCPCS billing breadth) | 100 | 33.33th | $154 – $223 |
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Dr. Ryland Melford, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Melford National Provider Identifier | NPI #1598874869 (MD) | CMS NPPES Registry (92653) |
| Dr. Melford Laguna Hills CMS Volume Rank | 33.33th Pct (2,398 CMS svcs; Z -0.274σ) | CMS Medicare Part B (CA Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Laguna Hills, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 9 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.76/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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