Dr. Shireen Guide, MD
725 Welch Rd, Palo Alto, CA 94304 • +1-607-555-1408
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Palo Alto Percentiles
NPI #1033287180 • CBSA Regional • Dermatology
Dr. Shireen Guide, MD (NPI #1033287180) practices Dermatology in Palo Alto, CA (94304) with sub-specialty concentration in 73 Active CMS HCPCS Codes, recording 5,156 annual CMS services across 304 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (77.78th Palo Alto percentile) (-0.07σ vs CA state mean, 66.64th statewide percentile).
Fee-schedule auditing of NPI 1033287180 highlights 1058 annual claims for 17000 (77.78th Palo Alto percentile; $68–$93 self-pay corridor) plus 965 encounters under 99213 and 591 under 11102.
Uninsured and high-deductible cash patients visiting Dr. Shireen Guide in Palo Alto (94304) face an estimated $239.00 initial evaluation fee at 725 Welch Rd (hybrid in-clinic and telehealth video consults; 19-minute average reception wait; bedside manner 4.56/5 from 13 verified reports).
Clinical background for Dr. Guide (MD, NPI #1033287180) includes accredited doctoral training (2014, 12 yrs in practice) and virtual + in-office availability across CA.
Compared against Palo Alto, CA Dermatology peers
5,156 annual services across 304 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 | 1,058 | 77.78th | $68 – $93 |
| 99213 | Focused Cutaneous & Dermoscopic Examination | 965 | 82.78th | $76 – $104 |
| 11102 | Tangential Diagnostic Skin Biopsy of Single Lesion | 591 | 82.78th | $100 – $137 |
| 11401 | Excision of Benign Cutaneous Lesion (0.6 to 1.0 cm) | 311 | 72.78th | $140 – $192 |
| 99203 | New Patient Full-Body Skin Cancer & Dermatology Evaluation | 187 | 82.78th | $108 – $148 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (73 HCPCS billing breadth) | 2,043 | 77.78th | $83 – $120 |
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Dr. Shireen Guide, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Guide National Provider Identifier | NPI #1033287180 (MD) | CMS NPPES Registry (94304) |
| Dr. Guide Palo Alto CMS Volume Rank | 77.78th Pct (5,156 CMS svcs; Z -0.068σ) | CMS Medicare Part B (CA Dermatology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Palo Alto, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 19 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.56/5 Listening • 4.44/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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