Dr. Susan Shimomaye, MD
3998 Vista Way Ste 100, Oceanside, CA 92056 • +1-782-555-2583
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Oceanside Percentiles
NPI #1801828058 • CBSA Regional • Dermatology
Statistical peer benchmarking across CA Dermatology providers positions Dr. Susan Shimomaye, MD in Oceanside at +0.05σ (42.86th city percentile / 77.28th state percentile, 744 Medicare beneficiaries), with clinical focus spanning 80 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1801828058 highlights 1839 annual claims for 17000 (42.86th Oceanside percentile; $140–$191 self-pay corridor) plus 1677 encounters under 99213 and 1028 under 11102.
Uninsured and high-deductible cash patients visiting Dr. Susan Shimomaye in Oceanside (92056) face an estimated $239.00 initial evaluation fee at 3998 Vista Way Ste 100 (in-person clinic visits only; 10-minute average reception wait; bedside manner 4.62/5 from 12 verified reports).
Clinical background for Dr. Shimomaye (MD, NPI #1801828058) includes accredited doctoral training (2016, 10 yrs in practice) and dedicated on-site consultations at 3998 Vista Way Ste 100.
Compared against Oceanside, CA Dermatology peers
7,143 annual services across 744 beneficiaries
Standard deviations from CA Dermatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 17000 | Cryotherapy Destruction of Premalignant Actinic Lesion | 1,839 | 42.86th | $140 – $191 |
| 99213 | Focused Cutaneous & Dermoscopic Examination | 1,677 | 37.86th | $156 – $214 |
| 11102 | Tangential Diagnostic Skin Biopsy of Single Lesion | 1,028 | 47.86th | $205 – $281 |
| 11401 | Excision of Benign Cutaneous Lesion (0.6 to 1.0 cm) | 541 | 46.86th | $287 – $394 |
| 99203 | New Patient Full-Body Skin Cancer & Dermatology Evaluation | 325 | 41.86th | $222 – $304 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (80 HCPCS billing breadth) | 1,733 | 42.86th | $170 – $247 |
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Dr. Susan Shimomaye, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shimomaye National Provider Identifier | NPI #1801828058 (MD) | CMS NPPES Registry (92056) |
| Dr. Shimomaye Oceanside CMS Volume Rank | 42.86th Pct (7,143 CMS svcs; Z +0.050σ) | CMS Medicare Part B (CA Dermatology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Oceanside, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 10 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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