Dr. Phuong Ly, MD
26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691 • +1-852-555-8320
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Mission Viejo Percentiles
NPI #1265512982 • CBSA Regional • Family Practice
Operating out of Mission Viejo, CA (26800 Crown Valley Pkwy Ste 150), Family Practice clinician Dr. Phuong Ly, MD (accredited MD/DO training, 1999) maintains a mid-cohort balanced caseload (60th Mission Viejo percentile) (67.16th CA percentile; Z-score -0.05σ across 2,099 documented services) with sub-specialty concentration in 81 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1265512982 highlights 781 annual claims for 99214 (60th Mission Viejo percentile; $134–$184 self-pay corridor) plus 577 encounters under 99213 and 223 under G0439.
Cash-pay intake data for NPI 1265512982 (26800 Crown Valley Pkwy Ste 150, Mission Viejo) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 15-minute average reception wait and 4.50/5 biomarker openness.
Patients evaluating Dr. Phuong Ly in ZIP 92691 note 27 years of post-doctoral tenure (null, 1999) alongside 2.8 annual CMS procedures per patient.
Compared against Mission Viejo, CA Family Practice peers
2,099 annual services across 748 beneficiaries
Standard deviations from CA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 781 | 60th | $134 – $184 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 577 | 57th | $103 – $141 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 223 | 56th | $154 – $211 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 167 | 64th | $29 – $44 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 112 | 63th | $184 – $252 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (81 HCPCS billing breadth) | 239 | 60th | $121 – $175 |
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Dr. Phuong Ly, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ly National Provider Identifier | NPI #1265512982 (MD) | CMS NPPES Registry (92691) |
| Dr. Ly Mission Viejo CMS Volume Rank | 60.00th Pct (2,099 CMS svcs; Z -0.048σ) | CMS Medicare Part B (CA Family Practice) |
| 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 • 15 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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