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Rheumatology • Palo Alto, CA 94301 • NPI #1164524229

Dr. David Fischer, MD

795 El Camino Real, Palo Alto, CA 94301 • +1-668-555-2237

Medical Education: Accredited U.S. Medical School (Class of 2010)

50 Active CMS HCPCS Codes
4.59/5
Waiting-Room Score
6 patient logs
$239.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Palo Alto Percentiles

NPI #1164524229 • CBSA Regional • Rheumatology

Dr. David Fischer DotMD Verification Badge

CMS Medicare Part B utilization records credit Dr. David Fischer (MD, NPI 1164524229) at 795 El Camino Real in Palo Alto with 10,416 annual clinical services (392 beneficiaries), corresponding to a -0.39σ regional deviation and upper-quartile active clinical volume (66.67th Palo Alto percentile) with sub-specialty concentration in 50 Active CMS HCPCS Codes.

Granular CPT/HCPCS billing distribution at 795 El Camino Real shows Dr. David Fischer's primary concentration in Autoimmune Arthritis & Biologic/DMARD Safety Evaluation (code 99214: 758x/yr, 66.67th local percentile) alongside Large Joint Synovial Arthrocentesis or Corticosteroid Injection (20610: 346x/yr, $41–$56).

Cash-pay intake data for NPI 1164524229 (795 El Camino Real, Palo Alto) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 14-minute average reception wait and 4.57/5 biomarker openness.

Patients evaluating Dr. David Fischer in ZIP 94301 note 16 years of post-doctoral tenure (null, 2010) alongside 26.6 annual CMS procedures per patient.

Palo Alto Percentile 66.67th

Compared against Palo Alto, CA Rheumatology peers

CA State Percentile 56.77th

10,416 annual services across 392 beneficiaries

Regional Volume Z-Score -0.392σ

Standard deviations from CA Rheumatology mean utilization

Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks

HCPCS Clinical Procedure Description Annual Volume Local Pct Est. Cash Range
99214 Autoimmune Arthritis & Biologic/DMARD Safety Evaluation 758 66.67th $52 – $71
20610 Large Joint Synovial Arthrocentesis or Corticosteroid Injection 346 68.67th $41 – $56
96413 Intravenous Biologic Infusion Therapy (First Hour) 247 65.67th $71 – $97
76881 Complete Joint Synovitis High-Resolution Ultrasound 165 62.67th $54 – $74
99204 New Patient Autoimmune & Rheumatology Diagnostic Workup 132 71.67th $71 – $97
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (50 HCPCS billing breadth) 8,768 66.67th $45 – $65
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Dr. David Fischer, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Fischer National Provider Identifier NPI #1164524229 (MD) CMS NPPES Registry (94301)
Dr. Fischer Palo Alto CMS Volume Rank 66.67th Pct (10,416 CMS svcs; Z -0.392σ) CMS Medicare Part B (CA Rheumatology)
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 • 14 min lobby wait 6 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.85/5 Listening • 4.57/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
14 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $239.00
Listens Without Rushing
4.85/5
Patient communication rating
Modern Protocol Openness
4.57/5
Preventive labs, GLP-1s & HRT
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