Dr. Shawn Evans, MD
4077 Fifth Ave, San Diego, CA 92103 • +1-335-555-2324
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & San Diego Percentiles
NPI #1265460893 • CBSA Regional • Emergency Medicine
Dr. Shawn Evans, MD (NPI #1265460893) practices Emergency Medicine in San Diego, CA (92103) with sub-specialty concentration in 59 Active CMS HCPCS Codes, recording 2,289 annual CMS services across 1,100 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (85.71th San Diego percentile) (+0.45σ vs CA state mean, 93.4th statewide percentile).
Fee-schedule auditing of NPI 1265460893 highlights 1030 annual claims for 99214 (85.71th San Diego percentile; $179–$245 self-pay corridor) plus 595 encounters under 99213 and 298 under 93000.
For out-of-network patients contacting +1-335-555-2324, Dr. Evans's practice posts a $239.00 GPCI self-pay consult estimate ($239.00 patient-logged median, 4.62/5 composite reality score over 13 submissions).
Clinical background for Dr. Evans (MD, NPI #1265460893) includes accredited doctoral training (2011, 15 yrs in practice) and virtual + in-office availability across CA.
Compared against San Diego, CA Emergency Medicine peers
2,289 annual services across 1,100 beneficiaries
Standard deviations from CA Emergency 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 | 1,030 | 85.71th | $179 – $245 |
| 99213 | Established Preventive & Chronic Care Visit | 595 | 86.71th | $137 – $187 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 298 | 83.71th | $65 – $89 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 229 | 84.71th | $210 – $288 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 137 | 86.71th | $249 – $341 |
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Dr. Shawn Evans, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Evans National Provider Identifier | NPI #1265460893 (MD) | CMS NPPES Registry (92103) |
| Dr. Evans San Diego CMS Volume Rank | 85.71th Pct (2,289 CMS svcs; Z +0.454σ) | CMS Medicare Part B (CA Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (San Diego, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 13 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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