Dr. John Sullivan, MD
220 Meridian Ave, San Jose, CA 95126 • +1-763-555-6831
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & San Jose Percentiles
NPI #1285605303 • CBSA Regional • Ophthalmology
Dr. John Sullivan, MD (NPI #1285605303) practices Ophthalmology in San Jose, CA (95126) with sub-specialty concentration in 40 Active CMS HCPCS Codes, recording 1,732 annual CMS services across 586 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (36.67th San Jose percentile) (-0.37σ vs CA state mean, 27.15th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Sullivan (averaging 3.0 services per beneficiary), 92014 (Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam) represents 37% of tracked volume (641 encounters), paired with 92134 (450x).
At 220 Meridian Ave (95126), Dr. John Sullivan, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$239.00 per new consult (4.95/5 bedside rating).
NPI registry verification (#1285605303) confirms Dr. John Sullivan's MD standing serving CBSA 95126 with a 4.84/5 patient scorecard.
Compared against San Jose, CA Ophthalmology peers
1,732 annual services across 586 beneficiaries
Standard deviations from CA Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 641 | 36.67th | $173 – $237 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 450 | 40.67th | $95 – $131 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 294 | 32.67th | $114 – $157 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 208 | 40.67th | $208 – $286 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 139 | 31.67th | $763 – $1046 |
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Dr. John Sullivan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sullivan National Provider Identifier | NPI #1285605303 (MD) | CMS NPPES Registry (95126) |
| Dr. Sullivan San Jose CMS Volume Rank | 36.67th Pct (1,732 CMS svcs; Z -0.374σ) | CMS Medicare Part B (CA Ophthalmology) |
| 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 | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.95/5 Listening • 4.54/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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