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Internal Medicine • San Clemente, CA 92673 • NPI #1851402002

Dr. Simon Outhwaite, MD

647 Camino De Los Mares #108-167, San Clemente, CA 92673 • +1-669-555-5826

Medical Education: Accredited U.S. Medical School (Class of 2008)

8 Active CMS HCPCS Codes
4.64/5
Waiting-Room Score
7 patient logs
$239.00
Fair Cash-Pay Benchmark

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

NPI #1851402002 • CBSA Regional • Internal Medicine

Dr. Simon Outhwaite DotMD Verification Badge

Operating out of San Clemente, CA (647 Camino De Los Mares #108-167), Internal Medicine clinician Dr. Simon Outhwaite, MD (accredited MD/DO training, 2008) maintains a focused low-volume boutique caseload (7.69th San Clemente percentile) (9.84th CA percentile; Z-score -0.11σ across 734 documented services) with sub-specialty concentration in 8 Active CMS HCPCS Codes.

Medicare Part B line-item claims for Dr. Simon Outhwaite (92673) place 99214 at the top of the practice ledger (330 yearly units, 12th metro rank), rounded out by 99213 and 93000.

At 647 Camino De Los Mares #108-167 (92673), Dr. Simon Outhwaite, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$239.00 per new consult (4.79/5 bedside rating).

Credentialed as an MD specialist with 18 years post-graduation experience since completing medical school at an LCME/COCA institution (2008), Dr. Outhwaite coordinates 8 Active CMS HCPCS Codes workups from 647 Camino De Los Mares #108-167 (+1-669-555-5826).

San Clemente Percentile 7.69th

Compared against San Clemente, CA Internal Medicine peers

CA State Percentile 9.84th

734 annual services across 233 beneficiaries

Regional Volume Z-Score -0.107σ

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 330 12th $213 – $292
99213 Established Preventive & Chronic Care Visit 191 12th $163 – $223
93000 In-Office 12-Lead Resting Electrocardiogram 95 12th $78 – $107
G0439 Annual Preventive Wellness & Cardiometabolic Risk Assessment 73 12th $250 – $343
99204 Comprehensive New Patient Internal Medicine Diagnostic Visit 44 12th $296 – $406
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Dr. Simon Outhwaite, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Outhwaite National Provider Identifier NPI #1851402002 (MD) CMS NPPES Registry (92673)
Dr. Outhwaite San Clemente CMS Volume Rank 7.69th Pct (734 CMS svcs; Z -0.107σ) 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 7 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.79/5 Listening • 4.77/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
9 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $239.00
Listens Without Rushing
4.79/5
Patient communication rating
Modern Protocol Openness
4.77/5
Preventive labs, GLP-1s & HRT
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