Dr. Thomas Gildea, MD
2105 Forest Ave, San Jose, CA 95128 • +1-870-555-7158
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & San Jose Percentiles
NPI #1053708917 • CBSA Regional • Emergency Medicine
Operating out of San Jose, CA (2105 Forest Ave), Emergency Medicine clinician Dr. Thomas Gildea, MD (accredited MD/DO training, 2018) maintains a focused low-volume boutique caseload (0th San Jose percentile) (4.64th CA percentile; Z-score -0.29σ across 649 documented services) with sub-specialty concentration in 47 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1053708917 highlights 292 annual claims for 99214 (12th San Jose percentile; $183–$251 self-pay corridor) plus 169 encounters under 99213 and 84 under 93000.
At 2105 Forest Ave (95128), Dr. Thomas Gildea, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$239.00 per new consult (4.61/5 bedside rating).
Clinical background for Dr. Gildea (MD, NPI #1053708917) includes accredited doctoral training (2018, 8 yrs in practice) and virtual + in-office availability across CA.
Compared against San Jose, CA Emergency Medicine peers
649 annual services across 339 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 | 292 | 12th | $183 – $251 |
| 99213 | Established Preventive & Chronic Care Visit | 169 | 12th | $140 – $192 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 84 | 12th | $67 – $92 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 65 | 12th | $215 – $295 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 39 | 12th | $255 – $349 |
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Dr. Thomas Gildea, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gildea National Provider Identifier | NPI #1053708917 (MD) | CMS NPPES Registry (95128) |
| Dr. Gildea San Jose CMS Volume Rank | 0.00th Pct (649 CMS svcs; Z -0.293σ) | 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 Jose, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 17 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.49/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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