Dr. John Edelen, MD
15 Altarinda Rd Ste 112, Orinda, CA 94563 • +1-426-555-9611
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Orinda Percentiles
NPI #1831183383 • CBSA Regional • Interventional Cardiology
CMS Medicare Part B utilization records credit Dr. John Edelen (MD, NPI 1831183383) at 15 Altarinda Rd Ste 112 in Orinda with 3,149 annual clinical services (1,038 beneficiaries), corresponding to a -0.18σ regional deviation and top-decile high-throughput specialist (99th percentile in Orinda) with sub-specialty concentration in 56 Active CMS HCPCS Codes.
Procedural volume for Dr. Edelen is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 1417 annual services, $203–$279 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 819/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 409/yr).
Direct cash-pay transparency modeling sets Dr. Edelen's baseline new-consult rate near $239.00 in Orinda, CA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 18-minute average reception wait).
NPI registry verification (#1831183383) confirms Dr. John Edelen's MD standing serving CBSA 94563 with a 4.69/5 patient scorecard.
Top 10% Interventional Cardiology volume leader in Orinda, CA
3,149 annual services across 1,038 beneficiaries
Standard deviations from CA Interventional Cardiology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 1,417 | 99th | $203 – $279 |
| 99213 | Established Preventive & Chronic Care Visit | 819 | 99.5th | $156 – $213 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 409 | 95th | $74 – $102 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 315 | 96th | $239 – $327 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 189 | 95th | $283 – $387 |
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Dr. John Edelen, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Edelen National Provider Identifier | NPI #1831183383 (MD) | CMS NPPES Registry (94563) |
| Dr. Edelen Orinda CMS Volume Rank | 99.00th Pct (3,149 CMS svcs; Z -0.185σ) | CMS Medicare Part B (CA Interventional Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Orinda, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 18 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.94/5 Listening • 4.90/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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