Dr. Sheri Koplik, MD
26800 Crown Valley Pkwy, Suite 250, Mission Viejo, CA 92691 • +1-852-555-9549
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Mission Viejo Percentiles
NPI #1902959612 • CBSA Regional • Cardiology
Dr. Sheri Koplik, MD (NPI #1902959612) practices Cardiology in Mission Viejo, CA (92691) with sub-specialty concentration in 63 Active CMS HCPCS Codes, recording 5,121 annual CMS services across 2,161 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Mission Viejo percentile) (-0.07σ vs CA state mean, 66.74th statewide percentile).
Fee-schedule auditing of NPI 1902959612 highlights 1896 annual claims for 99214 (50th Mission Viejo percentile; $153–$209 self-pay corridor) plus 1397 encounters under 93000 and 898 under 93306.
Direct cash-pay transparency modeling sets Dr. Koplik's baseline new-consult rate near $239.00 in Mission Viejo, CA (cash-pay accepted, in-person clinic visits only, 18-minute average reception wait).
Credentialed as an MD specialist with 25 years post-graduation experience since completing medical school at an LCME/COCA institution (2001), Dr. Koplik coordinates 63 Active CMS HCPCS Codes workups from 26800 Crown Valley Pkwy, Suite 250 (+1-852-555-9549).
Compared against Mission Viejo, CA Cardiology peers
5,121 annual services across 2,161 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 | 1,896 | 50th | $153 – $209 |
| 93000 | 12-Lead Resting Electrocardiogram (ECG) w/ Interpretation | 1,397 | 55th | $60 – $82 |
| 93306 | Complete Transthoracic Echocardiography w/ Doppler & Color Flow | 898 | 47th | $285 – $391 |
| 93224 | 24-Hour Ambulatory ECG Rhythm Monitoring & Analysis | 499 | 51th | $179 – $245 |
| 99204 | Comprehensive New Patient Cardiovascular Risk Evaluation | 299 | 55th | $219 – $300 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (63 HCPCS billing breadth) | 131 | 50th | $138 – $200 |
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Dr. Sheri Koplik, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Koplik National Provider Identifier | NPI #1902959612 (MD) | CMS NPPES Registry (92691) |
| Dr. Koplik Mission Viejo CMS Volume Rank | 50.00th Pct (5,121 CMS svcs; Z -0.066σ) | CMS Medicare Part B (CA Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mission Viejo, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 18 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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