Dr. Michael Le, MD
23 Upper Ragsdale DR, Monterey, CA 93940 • +1-730-555-8033
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Monterey Percentiles
NPI #1427382985 • CBSA Regional • Gastroenterology
Dr. Michael Le, MD (NPI #1427382985) practices Gastroenterology in Monterey, CA (93940) with sub-specialty concentration in 58 Active CMS HCPCS Codes, recording 1,753 annual CMS services across 683 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (87.5th Monterey percentile) (-0.07σ vs CA state mean, 73.1th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Le (averaging 2.6 services per beneficiary), 99214 (Established Gastroenterology, GERD & IBD Evaluation) represents 37% of tracked volume (649 encounters), paired with 45380 (438x).
Cash-pay intake data for NPI 1427382985 (23 Upper Ragsdale DR, Monterey) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 12-minute average reception wait and 4.86/5 biomarker openness.
Patients evaluating Dr. Michael Le in ZIP 93940 note 31 years of post-doctoral tenure (null, 1995) alongside 2.6 annual CMS procedures per patient.
Compared against Monterey, CA Gastroenterology peers
1,753 annual services across 683 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 | 649 | 87.5th | $252 – $345 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 438 | 84.5th | $607 – $832 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 368 | 87.5th | $504 – $691 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 175 | 83.5th | $676 – $926 |
| 99204 | New Patient Digestive & Hepatology Consultation | 123 | 90.5th | $355 – $487 |
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Dr. Michael Le, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Le National Provider Identifier | NPI #1427382985 (MD) | CMS NPPES Registry (93940) |
| Dr. Le Monterey CMS Volume Rank | 87.50th Pct (1,753 CMS svcs; Z -0.075σ) | CMS Medicare Part B (CA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Monterey, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 12 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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