Dr. Larry Halem, MD
1250 16th St, Emergency Department, Santa Monica, CA 90404 • +1-806-555-8472
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Santa Monica Percentiles
NPI #1568574937 • CBSA Regional • Emergency Medicine
Anchored in Santa Monica, CA 90404, Dr. Larry Halem, MD (NPI 1568574937) logged 702 annual procedures (focused low-volume boutique caseload (0th Santa Monica percentile), 16.12th CA percentile, -0.27σ) with sub-specialty concentration in 30 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1568574937 highlights 316 annual claims for 99214 (12th Santa Monica percentile; $276–$378 self-pay corridor) plus 183 encounters under 99213 and 91 under 93000.
Direct cash-pay transparency modeling sets Dr. Halem's baseline new-consult rate near $239.00 in Santa Monica, CA (cash-pay accepted, in-person clinic visits only, 21-minute average reception wait).
From 1250 16th St, Emergency Department in Santa Monica (+1-806-555-8472), Dr. Halem, MD (25-year clinical track record) delivers 30 Active CMS HCPCS Codes care.
Compared against Santa Monica, CA Emergency Medicine peers
702 annual services across 570 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 | 316 | 12th | $276 – $378 |
| 99213 | Established Preventive & Chronic Care Visit | 183 | 12th | $211 – $289 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 91 | 12th | $101 – $138 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 70 | 12th | $324 – $444 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 42 | 12th | $384 – $526 |
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Dr. Larry Halem, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Halem National Provider Identifier | NPI #1568574937 (MD) | CMS NPPES Registry (90404) |
| Dr. Halem Santa Monica CMS Volume Rank | 0.00th Pct (702 CMS svcs; Z -0.269σ) | CMS Medicare Part B (CA Emergency Medicine) |
| 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 • 21 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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