Dr. Simon Lo, MD
8700 Beverly Blvd., Los Angeles, CA 90048 • +1-717-555-2970
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Los Angeles Percentiles
NPI #1255368874 • CBSA 31080 • Gastroenterology
Statistical peer benchmarking across CA Gastroenterology providers positions Dr. Simon Lo, MD in Los Angeles at -0.35σ (12.24th city percentile / 7.87th state percentile, 349 Medicare beneficiaries), with clinical focus spanning 67 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Lo (averaging 2.0 services per beneficiary), 99214 (Established Gastroenterology, GERD & IBD Evaluation) represents 37% of tracked volume (261 encounters), paired with 45380 (177x).
Direct cash-pay transparency modeling sets Dr. Lo's baseline new-consult rate near $231.00 in Los Angeles, CA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 22-minute average reception wait).
Clinical background for Dr. Lo (MD, NPI #1255368874) includes accredited doctoral training (1996, 30 yrs in practice) and virtual + in-office availability across CA.
Compared against Los Angeles, CA Gastroenterology peers
706 annual services across 349 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 | 261 | 12.24th | $300 – $411 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 177 | 13.24th | $723 – $990 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 148 | 12th | $600 – $822 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 71 | 14.24th | $804 – $1102 |
| 99204 | New Patient Digestive & Hepatology Consultation | 49 | 17.24th | $423 – $579 |
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Dr. Simon Lo, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lo National Provider Identifier | NPI #1255368874 (MD) | CMS NPPES Registry (90048) |
| Dr. Lo Los Angeles CMS Volume Rank | 12.24th Pct (706 CMS svcs; Z -0.349σ) | CMS Medicare Part B (CA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $231.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Los Angeles, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $231.00 avg paid • 22 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.90/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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