Dr. Alexander Shpaner, MD
6719 Alvarado Rd Ste 206, San Diego, CA 92120 • +1-266-555-7720
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & San Diego Percentiles
NPI #1538334974 • CBSA Regional • Internal Medicine
Operating out of San Diego, CA (6719 Alvarado Rd Ste 206), Internal Medicine clinician Dr. Alexander Shpaner, MD (accredited MD/DO training, 2004) maintains a focused low-volume boutique caseload (18.45th San Diego percentile) (23.89th CA percentile; Z-score -0.10σ across 916 documented services) with sub-specialty concentration in 31 Active CMS HCPCS Codes.
Dr. Shpaner's longitudinal care intensity (2.5 billed units per patient across 364 individuals) centers on 99214 (412 annual units) and 99213 ($149–$204 cash range).
Cash-pay intake data for NPI 1538334974 (6719 Alvarado Rd Ste 206, San Diego) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 20-minute average reception wait and 4.56/5 biomarker openness.
Credentialed as an MD specialist with 22 years post-graduation experience since completing medical school at an LCME/COCA institution (2004), Dr. Shpaner coordinates 31 Active CMS HCPCS Codes workups from 6719 Alvarado Rd Ste 206 (+1-266-555-7720).
Compared against San Diego, CA Internal Medicine peers
916 annual services across 364 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 | 412 | 18.45th | $195 – $267 |
| 99213 | Established Preventive & Chronic Care Visit | 238 | 13.45th | $149 – $204 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 119 | 13.45th | $71 – $98 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 92 | 20.45th | $229 – $313 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 55 | 20.45th | $271 – $371 |
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Dr. Alexander Shpaner, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shpaner National Provider Identifier | NPI #1538334974 (MD) | CMS NPPES Registry (92120) |
| Dr. Shpaner San Diego CMS Volume Rank | 18.45th Pct (916 CMS svcs; Z -0.102σ) | 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 Diego, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 20 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.56/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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