Dr. Umesh Bhagia, MD
1250 16th St, Santa Monica, CA 90404 • +1-806-555-4549
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Santa Monica Percentiles
NPI #1568468528 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across CA Orthopedic Surgery providers positions Dr. Umesh Bhagia, MD in Santa Monica at +0.06σ (75th city percentile / 77.59th state percentile, 958 Medicare beneficiaries), with clinical focus spanning 66 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Bhagia (averaging 6.1 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 26% of tracked volume (1498 encounters), paired with 20610 (1123x).
For out-of-network patients contacting +1-806-555-4549, Dr. Bhagia's practice posts a $239.00 GPCI self-pay consult estimate ($239.00 patient-logged median, 4.57/5 composite reality score over 24 submissions).
Credentialed as an MD specialist with 25 years post-graduation experience since completing medical school at an LCME/COCA institution (2001), Dr. Bhagia coordinates 66 Active CMS HCPCS Codes workups from 1250 16th St (+1-806-555-4549).
Compared against Santa Monica, CA Orthopedic Surgery peers
5,847 annual services across 958 beneficiaries
Standard deviations from CA Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 1,498 | 75th | $155 – $212 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 1,123 | 76th | $165 – $226 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 790 | 80th | $93 – $127 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 458 | 72th | $222 – $304 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 291 | 70th | $1430 – $1960 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (66 HCPCS billing breadth) | 1,687 | 75th | $174 – $252 |
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Dr. Umesh Bhagia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Bhagia National Provider Identifier | NPI #1568468528 (MD) | CMS NPPES Registry (90404) |
| Dr. Bhagia Santa Monica CMS Volume Rank | 75.00th Pct (5,847 CMS svcs; Z +0.058σ) | CMS Medicare Part B (CA Orthopedic Surgery) |
| 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 • 12 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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