Dr. Paul Fanta, MD
200 W Arbor DR, San Diego, CA 92103 • +1-335-555-3216
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & San Diego Percentiles
NPI #1467661496 • CBSA Regional • Hematology-Oncology
Dr. Paul Fanta, MD (NPI #1467661496) practices Hematology-Oncology in San Diego, CA (92103) with sub-specialty concentration in 13 Active CMS HCPCS Codes, recording 716 annual CMS services across 185 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (5.88th San Diego percentile) (-0.63σ vs CA state mean, 2.84th statewide percentile).
Fee-schedule auditing of NPI 1467661496 highlights 322 annual claims for 99214 (12th San Diego percentile; $270–$370 self-pay corridor) plus 186 encounters under 99213 and 93 under 93000.
Direct cash-pay transparency modeling sets Dr. Fanta's baseline new-consult rate near $239.00 in San Diego, CA (cash-pay accepted, in-person clinic visits only, 17-minute average reception wait).
NPI registry verification (#1467661496) confirms Dr. Paul Fanta's MD standing serving CBSA 92103 with a 4.82/5 patient scorecard.
Compared against San Diego, CA Hematology-Oncology peers
716 annual services across 185 beneficiaries
Standard deviations from CA Hematology-Oncology 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 | 322 | 12th | $270 – $370 |
| 99213 | Established Preventive & Chronic Care Visit | 186 | 12th | $207 – $283 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 93 | 12th | $99 – $135 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 72 | 12th | $317 – $434 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 43 | 12th | $376 – $515 |
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Dr. Paul Fanta, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fanta National Provider Identifier | NPI #1467661496 (MD) | CMS NPPES Registry (92103) |
| Dr. Fanta San Diego CMS Volume Rank | 5.88th Pct (716 CMS svcs; Z -0.629σ) | CMS Medicare Part B (CA Hematology-Oncology) |
| 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 • 17 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.67/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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