Dr. Nick Karahalios, MD
665 Camino De Los Mares Ste 309, San Clemente, CA 92673 • +1-669-555-7905
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & San Clemente Percentiles
NPI #1255442505 • CBSA Regional • Internal Medicine
Operating out of San Clemente, CA (665 Camino De Los Mares Ste 309), Internal Medicine clinician Dr. Nick Karahalios, MD (accredited MD/DO training, 2016) maintains a upper-quartile active clinical volume (69.23th San Clemente percentile) (52.21th CA percentile; Z-score -0.08σ across 1,575 documented services) with sub-specialty concentration in 47 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Nick Karahalios (92673) place 99214 at the top of the practice ledger (668 yearly units, 69.23th metro rank), rounded out by 99213 and 93000.
Cash-pay intake data for NPI 1255442505 (665 Camino De Los Mares Ste 309, San Clemente) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 9-minute average reception wait and 4.86/5 biomarker openness.
Patients evaluating Dr. Nick Karahalios in ZIP 92673 note 10 years of post-doctoral tenure (null, 2016) alongside 15.1 annual CMS procedures per patient.
Compared against San Clemente, CA Internal Medicine peers
1,575 annual services across 104 beneficiaries
Standard deviations from CA Internal Medicine 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 | 668 | 69.23th | $163 – $223 |
| 99213 | Established Preventive & Chronic Care Visit | 386 | 73.23th | $124 – $171 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 193 | 73.23th | $59 – $81 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 148 | 70.23th | $191 – $262 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 89 | 64.23th | $226 – $310 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (47 HCPCS billing breadth) | 91 | 69.23th | $147 – $213 |
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Dr. Nick Karahalios, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Karahalios National Provider Identifier | NPI #1255442505 (MD) | CMS NPPES Registry (92673) |
| Dr. Karahalios San Clemente CMS Volume Rank | 69.23th Pct (1,575 CMS svcs; Z -0.082σ) | CMS Medicare Part B (CA Internal Medicine) |
| 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 • 9 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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