Dr. Caroline Vilchis, MD
3609 Vista Way, Oceanside, CA 92056 • +1-782-555-1270
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Oceanside Percentiles
NPI #1083810410 • CBSA Regional • Urology
Operating out of Oceanside, CA (3609 Vista Way), Urology clinician Dr. Caroline Vilchis, MD (accredited MD/DO training, 2016) maintains a focused low-volume boutique caseload (0th Oceanside percentile) (26.22th CA percentile; Z-score -0.27σ across 1,535 documented services) with sub-specialty concentration in 35 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1083810410 highlights 553 annual claims for 99214 (12th Oceanside percentile; $106–$146 self-pay corridor) plus 414 encounters under 51798 and 261 under 52000.
Direct cash-pay transparency modeling sets Dr. Vilchis's baseline new-consult rate near $239.00 in Oceanside, CA (cash-pay accepted, in-person clinic visits only, 14-minute average reception wait).
From 3609 Vista Way in Oceanside (+1-782-555-1270), Dr. Vilchis, MD (10-year clinical track record) delivers 35 Active CMS HCPCS Codes care.
Compared against Oceanside, CA Urology peers
1,535 annual services across 202 beneficiaries
Standard deviations from CA Urology 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 Urologic, BPH & Androgen Evaluation | 553 | 12th | $106 – $146 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 414 | 12th | $44 – $61 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 261 | 12th | $217 – $298 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 184 | 12th | $60 – $82 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 123 | 12th | $150 – $205 |
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Dr. Caroline Vilchis, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Vilchis National Provider Identifier | NPI #1083810410 (MD) | CMS NPPES Registry (92056) |
| Dr. Vilchis Oceanside CMS Volume Rank | 0.00th Pct (1,535 CMS svcs; Z -0.268σ) | CMS Medicare Part B (CA Urology) |
| 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 • 14 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.48/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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