Dr. James Gammon, MD
500 Coffee Road, Suite F, Modesto, CA 95355 • +1-457-555-1697
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Modesto Percentiles
NPI #1598800062 • CBSA Regional • Ophthalmology
Within the Modesto, CA (CBSA local) Ophthalmology cohort, Dr. James Gammon, MD with sub-specialty concentration in 14 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 0.88th CA percentile (-0.44σ Z-score) based on 665 billed procedures for 300 patients.
Fee-schedule auditing of NPI 1598800062 highlights 246 annual claims for 92014 (12th Modesto percentile; $201–$275 self-pay corridor) plus 173 encounters under 92134 and 113 under 92083.
Cash-pay intake data for NPI 1598800062 (500 Coffee Road, Suite F, Modesto) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 11-minute average reception wait and 4.40/5 biomarker openness.
Credentialed as an MD specialist with 20 years post-graduation experience since completing medical school at an LCME/COCA institution (2006), Dr. Gammon coordinates 14 Active CMS HCPCS Codes workups from 500 Coffee Road, Suite F (+1-457-555-1697).
Compared against Modesto, CA Ophthalmology peers
665 annual services across 300 beneficiaries
Standard deviations from CA Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 246 | 12th | $201 – $275 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 173 | 12th | $111 – $152 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 113 | 12th | $133 – $182 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 80 | 12th | $242 – $331 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 53 | 12th | $886 – $1214 |
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Dr. James Gammon, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gammon National Provider Identifier | NPI #1598800062 (MD) | CMS NPPES Registry (95355) |
| Dr. Gammon Modesto CMS Volume Rank | 0.00th Pct (665 CMS svcs; Z -0.436σ) | CMS Medicare Part B (CA Ophthalmology) |
| 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 • 11 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.40/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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