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Family Practice • San Clemente, CA 92673 • NPI #1093864423

Dr. James Johnson, MD

901 Calle Amanecer, Ste 100, San Clemente, CA 92673 • +1-669-555-1996

Medical Education: Accredited U.S. Medical School (Class of 1996)

39 Active CMS HCPCS Codes
4.76/5
Waiting-Room Score
19 patient logs
$239.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & San Clemente Percentiles

NPI #1093864423 • CBSA Regional • Family Practice

Dr. James Johnson DotMD Verification Badge

CMS Medicare Part B utilization records credit Dr. James Johnson (MD, NPI 1093864423) at 901 Calle Amanecer, Ste 100 in San Clemente with 2,954 annual clinical services (372 beneficiaries), corresponding to a -0.02σ regional deviation and upper-quartile active clinical volume (75th San Clemente percentile) with sub-specialty concentration in 39 Active CMS HCPCS Codes.

Fee-schedule auditing of NPI 1093864423 highlights 1214 annual claims for 99214 (75th San Clemente percentile; $159–$218 self-pay corridor) plus 896 encounters under 99213 and 347 under G0439.

At 901 Calle Amanecer, Ste 100 (92673), Dr. James Johnson, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$239.00 per new consult (4.84/5 bedside rating).

Patients evaluating Dr. James Johnson in ZIP 92673 note 30 years of post-doctoral tenure (null, 1996) alongside 7.9 annual CMS procedures per patient.

San Clemente Percentile 75.00th

Compared against San Clemente, CA Family Practice peers

CA State Percentile 77.98th

2,954 annual services across 372 beneficiaries

Regional Volume Z-Score -0.023σ

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 1,214 75th $159 – $218
99213 Focused Acute & Preventive Primary Care Evaluation 896 73th $122 – $167
G0439 Annual Wellness Biomarker & Preventive Screening Visit 347 79th $182 – $250
36415 Routine Venipuncture Blood Biomarker Collection 260 74th $35 – $50
99204 New Patient Primary Care Intake & Diagnostic Plan 173 72th $218 – $299
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (39 HCPCS billing breadth) 64 75th $143 – $207
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Dr. James Johnson, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Johnson National Provider Identifier NPI #1093864423 (MD) CMS NPPES Registry (92673)
Dr. Johnson San Clemente CMS Volume Rank 75.00th Pct (2,954 CMS svcs; Z -0.023σ) CMS Medicare Part B (CA Family Practice)
Fair Cash-Pay New-Patient Benchmark $239.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (San Clemente, CA)
Waiting-Room Wait Time & Cash Friendliness $239.00 avg paid • 17 min lobby wait 19 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.84/5 Listening • 4.54/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
17 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $239.00
Listens Without Rushing
4.84/5
Patient communication rating
Modern Protocol Openness
4.54/5
Preventive labs, GLP-1s & HRT
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