Dr. Tina Sugimoto, MD
7225 Rainbow DR, San Jose, CA 95129 • +1-446-555-7007
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & San Jose Percentiles
NPI #1295832335 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across CA Internal Medicine providers positions Dr. Tina Sugimoto, MD in San Jose at -0.10σ (31.88th city percentile / 18.22th state percentile, 246 Medicare beneficiaries), with clinical focus spanning 34 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Tina Sugimoto (95129) place 99214 at the top of the practice ledger (356 yearly units, 31.88th metro rank), rounded out by 99213 and 93000.
Self-pay new patient consultations with Dr. Sugimoto (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 4.90/5 modern protocol openness score across 7 patient logs.
Credentialed as an MD specialist with 21 years post-graduation experience since completing medical school at an LCME/COCA institution (2005), Dr. Sugimoto coordinates 34 Active CMS HCPCS Codes workups from 7225 Rainbow DR (+1-446-555-7007).
Compared against San Jose, CA Internal Medicine peers
841 annual services across 246 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 | 356 | 31.88th | $261 – $358 |
| 99213 | Established Preventive & Chronic Care Visit | 206 | 35.88th | $200 – $274 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 103 | 28.88th | $95 – $131 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 79 | 26.88th | $306 – $420 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 47 | 32.88th | $363 – $497 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (34 HCPCS billing breadth) | 50 | 31.88th | $235 – $341 |
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Dr. Tina Sugimoto, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sugimoto National Provider Identifier | NPI #1295832335 (MD) | CMS NPPES Registry (95129) |
| Dr. Sugimoto San Jose CMS Volume Rank | 31.88th Pct (841 CMS svcs; Z -0.104σ) | 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 Jose, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 21 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.90/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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