Dr. Allen Li, MD
600 Coffee Rd, Modesto, CA 95355 • +1-457-555-1151
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Modesto Percentiles
NPI #1265827554 • CBSA Regional • Hematology-Oncology
Within the Modesto, CA (CBSA local) Hematology-Oncology cohort, Dr. Allen Li, MD with sub-specialty concentration in 20 Active CMS HCPCS Codes ranks at the 60th municipal percentile and 58.04th CA percentile (-0.29σ Z-score) based on 32,594 billed procedures for 499 patients.
Fee-schedule auditing of NPI 1265827554 highlights 998 annual claims for 99214 (60th Modesto percentile; $50–$68 self-pay corridor) plus 576 encounters under 99213 and 288 under 93000.
Direct cash-pay transparency modeling sets Dr. Li's baseline new-consult rate near $239.00 in Modesto, CA (cash-pay accepted, in-person clinic visits only, 14-minute average reception wait).
Credentialed as an MD specialist with 16 years post-graduation experience since completing medical school at an LCME/COCA institution (2010), Dr. Li coordinates 20 Active CMS HCPCS Codes workups from 600 Coffee Rd (+1-457-555-1151).
Compared against Modesto, CA Hematology-Oncology peers
32,594 annual services across 499 beneficiaries
Standard deviations from CA Hematology-Oncology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 998 | 60th | $50 – $68 |
| 99213 | Established Preventive & Chronic Care Visit | 576 | 61th | $38 – $53 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 288 | 63th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 222 | 64th | $58 – $80 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 133 | 57th | $69 – $94 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (20 HCPCS billing breadth) | 30,377 | 60th | $45 – $65 |
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Dr. Allen Li, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Li National Provider Identifier | NPI #1265827554 (MD) | CMS NPPES Registry (95355) |
| Dr. Li Modesto CMS Volume Rank | 60.00th Pct (32,594 CMS svcs; Z -0.291σ) | CMS Medicare Part B (CA Hematology-Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Modesto, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 14 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.72/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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