Dr. Lily Kao, MD
2690 S White Rd Ste 50, San Jose, CA 95148 • +1-568-555-3743
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & San Jose Percentiles
NPI #1578742888 • CBSA Regional • Rheumatology
CMS Medicare Part B utilization records credit Dr. Lily Kao (MD, NPI 1578742888) at 2690 S White Rd Ste 50 in San Jose with 3,238 annual clinical services (223 beneficiaries), corresponding to a -0.47σ regional deviation and focused low-volume boutique caseload (0th San Jose percentile) with sub-specialty concentration in 25 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1578742888 highlights 586 annual claims for 99214 (12th San Jose percentile; $74–$101 self-pay corridor) plus 268 encounters under 20610 and 191 under 96413.
Uninsured and high-deductible cash patients visiting Dr. Lily Kao in San Jose (95148) face an estimated $239.00 initial evaluation fee at 2690 S White Rd Ste 50 (in-person clinic visits only; 13-minute average reception wait; bedside manner 4.73/5 from 3 verified reports).
Patients evaluating Dr. Lily Kao in ZIP 95148 note 31 years of post-doctoral tenure (null, 1995) alongside 14.5 annual CMS procedures per patient.
Compared against San Jose, CA Rheumatology peers
3,238 annual services across 223 beneficiaries
Standard deviations from CA Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 586 | 12th | $74 – $101 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 268 | 12th | $58 – $80 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 191 | 12th | $101 – $139 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 127 | 12th | $77 – $105 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 102 | 12th | $101 – $139 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (25 HCPCS billing breadth) | 1,964 | 0th | $64 – $93 |
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Dr. Lily Kao, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kao National Provider Identifier | NPI #1578742888 (MD) | CMS NPPES Registry (95148) |
| Dr. Kao San Jose CMS Volume Rank | 0.00th Pct (3,238 CMS svcs; Z -0.469σ) | CMS Medicare Part B (CA Rheumatology) |
| 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 • 13 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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