Dr. Michael Palanca, MD
15004 Innovation DR., San Diego, CA 92128 • +1-635-555-2497
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & San Diego Percentiles
NPI #1033663109 • CBSA Regional • Optometry
Operating out of San Diego, CA (15004 Innovation DR.), Optometry clinician Dr. Michael Palanca, MD (accredited MD/DO training, 2006) maintains a top-decile high-throughput specialist (99th percentile in San Diego) (0th CA percentile; Z-score -0.95σ across 1,187 documented services) with sub-specialty concentration in 12 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Michael Palanca (92128) place 99214 at the top of the practice ledger (534 yearly units, 99th metro rank), rounded out by 99213 and 93000.
Self-pay new patient consultations with Dr. Palanca (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 21-minute average reception wait, and a 4.50/5 modern protocol openness score across 11 patient logs.
Credentialed as an MD specialist with 20 years post-graduation experience since completing medical school at an LCME/COCA institution (2006), Dr. Palanca coordinates 12 Active CMS HCPCS Codes workups from 15004 Innovation DR. (+1-635-555-2497).
Top 10% Optometry volume leader in San Diego, CA
1,187 annual services across 995 beneficiaries
Standard deviations from CA Optometry 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 | 534 | 99th | $220 – $302 |
| 99213 | Established Preventive & Chronic Care Visit | 309 | 99.5th | $168 – $231 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 154 | 98th | $80 – $110 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 119 | 97th | $258 – $354 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 71 | 99th | $306 – $420 |
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Dr. Michael Palanca, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Palanca National Provider Identifier | NPI #1033663109 (MD) | CMS NPPES Registry (92128) |
| Dr. Palanca San Diego CMS Volume Rank | 99.00th Pct (1,187 CMS svcs; Z -0.954σ) | CMS Medicare Part B (CA Optometry) |
| 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 • 21 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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