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Family Practice • Oceanside, CA 92054 • NPI #1376567586

Dr. James Groth, MD

2201 Mission Ave # 115, Oceanside, CA 92054 • +1-628-555-3185

Medical Education: Accredited U.S. Medical School (Class of 2016)

103 Active CMS HCPCS Codes
4.86/5
Waiting-Room Score
9 patient logs
$239.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Oceanside Percentiles

NPI #1376567586 • CBSA Regional • Family Practice

Dr. James Groth DotMD Verification Badge

Dr. James Groth, MD (NPI #1376567586) practices Family Practice in Oceanside, CA (92054) with sub-specialty concentration in 103 Active CMS HCPCS Codes, recording 3,311 annual CMS services across 1,449 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (69.23th Oceanside percentile) (-0.01σ vs CA state mean, 80.27th statewide percentile).

Procedural volume for Dr. Groth is led by HCPCS 99214 (Comprehensive Primary Care & Chronic Protocol Management — 1289 annual services, $104–$143 GPCI cash estimate), followed by CPT 99213 (Focused Acute & Preventive Primary Care Evaluation, 952/yr) and CPT G0439 (Annual Wellness Biomarker & Preventive Screening Visit, 368/yr).

Direct cash-pay transparency modeling sets Dr. Groth's baseline new-consult rate near $239.00 in Oceanside, CA (cash-pay accepted, in-person clinic visits only, 9-minute average reception wait).

Spanning 10 years of clinical practice following 2016 graduation from medical training, Dr. James Groth integrates 103 Active CMS HCPCS Codes diagnostics for Oceanside metro patients.

Oceanside Percentile 69.23th

Compared against Oceanside, CA Family Practice peers

CA State Percentile 80.27th

3,311 annual services across 1,449 beneficiaries

Regional Volume Z-Score -0.013σ

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 1,289 69.23th $104 – $143
99213 Focused Acute & Preventive Primary Care Evaluation 952 72.23th $80 – $109
G0439 Annual Wellness Biomarker & Preventive Screening Visit 368 70.23th $120 – $164
36415 Routine Venipuncture Blood Biomarker Collection 276 66.23th $25 – $40
99204 New Patient Primary Care Intake & Diagnostic Plan 184 68.23th $143 – $196
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (103 HCPCS billing breadth) 241 69.23th $94 – $136
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Dr. James Groth, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Groth National Provider Identifier NPI #1376567586 (MD) CMS NPPES Registry (92054)
Dr. Groth Oceanside CMS Volume Rank 69.23th Pct (3,311 CMS svcs; Z -0.013σ) CMS Medicare Part B (CA Family Practice)
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 • 9 min lobby wait 9 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.91/5 Listening • 4.92/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
9 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $239.00
Listens Without Rushing
4.91/5
Patient communication rating
Modern Protocol Openness
4.92/5
Preventive labs, GLP-1s & HRT
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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