Dr. Mark Mcgowan, MD
1260 15th St, 1501, Santa Monica, CA 90404 • +1-806-555-1781
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Santa Monica Percentiles
NPI #1720015902 • CBSA Regional • Internal Medicine
Within the Santa Monica, CA (CBSA local) Internal Medicine cohort, Dr. Mark Mcgowan, MD with sub-specialty concentration in 28 Active CMS HCPCS Codes ranks at the 48th municipal percentile and 43.76th CA percentile (-0.09σ Z-score) based on 1,313 billed procedures for 331 patients.
Fee-schedule auditing of NPI 1720015902 highlights 524 annual claims for 99214 (48th Santa Monica percentile; $125–$171 self-pay corridor) plus 303 encounters under 99213 and 151 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Mark Mcgowan in Santa Monica (90404) face an estimated $239.00 initial evaluation fee at 1260 15th St, 1501 (hybrid in-clinic and telehealth video consults; 18-minute average reception wait; bedside manner 4.85/5 from 10 verified reports).
Patients evaluating Dr. Mark Mcgowan in ZIP 90404 note 9 years of post-doctoral tenure (null, 2017) alongside 4.0 annual CMS procedures per patient.
Compared against Santa Monica, CA Internal Medicine peers
1,313 annual services across 331 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 | 524 | 48th | $125 – $171 |
| 99213 | Established Preventive & Chronic Care Visit | 303 | 45th | $96 – $131 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 151 | 45th | $46 – $63 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 116 | 53th | $147 – $201 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 70 | 43th | $174 – $239 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (28 HCPCS billing breadth) | 149 | 48th | $113 – $164 |
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Dr. Mark Mcgowan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mcgowan National Provider Identifier | NPI #1720015902 (MD) | CMS NPPES Registry (90404) |
| Dr. Mcgowan Santa Monica CMS Volume Rank | 48.00th Pct (1,313 CMS svcs; Z -0.090σ) | CMS Medicare Part B (CA Internal 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 • 18 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.85/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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