Dr. Sandra Fallon, MD
2020 Santa Monica Blvd, Suite 580, Santa Monica, CA 90404 • +1-806-555-6439
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Santa Monica Percentiles
NPI #1801947312 • CBSA Regional • Cardiology
Anchored in Santa Monica, CA 90404, Dr. Sandra Fallon, MD (NPI 1801947312) logged 858 annual procedures (focused low-volume boutique caseload (0th Santa Monica percentile), 5.28th CA percentile, -0.39σ) with sub-specialty concentration in 20 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Fallon (averaging 6.1 services per beneficiary), 99214 (Established Cardiology Consultation & Hemodynamic Review) represents 38% of tracked volume (326 encounters), paired with 93000 (240x).
Self-pay new patient consultations with Dr. Fallon (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 18-minute average reception wait, and a 4.76/5 modern protocol openness score across 8 patient logs.
Clinical background for Dr. Fallon (MD, NPI #1801947312) includes accredited doctoral training (2006, 20 yrs in practice) and virtual + in-office availability across CA.
Compared against Santa Monica, CA Cardiology peers
858 annual services across 140 beneficiaries
Standard deviations from CA Cardiology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Cardiology Consultation & Hemodynamic Review | 326 | 12th | $190 – $261 |
| 93000 | 12-Lead Resting Electrocardiogram (ECG) w/ Interpretation | 240 | 12th | $75 – $102 |
| 93306 | Complete Transthoracic Echocardiography w/ Doppler & Color Flow | 154 | 12th | $356 – $488 |
| 93224 | 24-Hour Ambulatory ECG Rhythm Monitoring & Analysis | 86 | 12th | $224 – $306 |
| 99204 | Comprehensive New Patient Cardiovascular Risk Evaluation | 51 | 12th | $273 – $375 |
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Dr. Sandra Fallon, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fallon National Provider Identifier | NPI #1801947312 (MD) | CMS NPPES Registry (90404) |
| Dr. Fallon Santa Monica CMS Volume Rank | 0.00th Pct (858 CMS svcs; Z -0.392σ) | CMS Medicare Part B (CA Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Santa Monica, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 18 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.94/5 Listening • 4.76/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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