Dr. Thomas Lian, MD
4077 Fifth Ave, San Diego, CA 92103 • +1-335-555-6625
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & San Diego Percentiles
NPI #1770594616 • CBSA Regional • Psychiatry
Statistical peer benchmarking across CA Psychiatry providers positions Dr. Thomas Lian, MD in San Diego at -0.43σ (0th city percentile / 1.35th state percentile, 61 Medicare beneficiaries), with clinical focus spanning 6 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 4077 Fifth Ave shows Dr. Thomas Lian's primary concentration in Psychopharmacology Medication & Symptom Titration Visit (code 99214: 283x/yr, 12th local percentile) alongside Add-On Focused Psychotherapy w/ Medical Evaluation (30 min) (90833: 180x/yr, $113–$155).
Self-pay new patient consultations with Dr. Lian (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 12-minute average reception wait, and a 4.55/5 modern protocol openness score across 8 patient logs.
NPI registry verification (#1770594616) confirms Dr. Thomas Lian's MD standing serving CBSA 92103 with a 4.65/5 patient scorecard.
Compared against San Diego, CA Psychiatry peers
643 annual services across 61 beneficiaries
Standard deviations from CA Psychiatry mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Psychopharmacology Medication & Symptom Titration Visit | 283 | 12th | $157 – $215 |
| 90833 | Add-On Focused Psychotherapy w/ Medical Evaluation (30 min) | 180 | 12th | $113 – $155 |
| 99213 | Established Behavioral Health Maintenance Follow-Up | 103 | 12th | $119 – $164 |
| 90792 | Comprehensive Psychiatric Diagnostic & Medical Evaluation | 77 | 12th | $246 – $336 |
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Dr. Thomas Lian, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lian National Provider Identifier | NPI #1770594616 (MD) | CMS NPPES Registry (92103) |
| Dr. Lian San Diego CMS Volume Rank | 0.00th Pct (643 CMS svcs; Z -0.433σ) | CMS Medicare Part B (CA Psychiatry) |
| 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 • 12 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.55/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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