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Pulmonary Disease • Santa Monica, CA 90404 • NPI #1093006116

Dr. Tao He, MD

1223 16th St Ste 3400, Santa Monica, CA 90404 • +1-806-555-1862

Medical Education: Accredited U.S. Medical School (Class of 2015)

63 Active CMS HCPCS Codes
4.82/5
Waiting-Room Score
17 patient logs
$239.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Santa Monica Percentiles

NPI #1093006116 • CBSA Regional • Pulmonary Disease

Dr. Tao He DotMD Verification Badge

Within the Santa Monica, CA (CBSA local) Pulmonary Disease cohort, Dr. Tao He, MD with sub-specialty concentration in 63 Active CMS HCPCS Codes ranks at the 69.23th municipal percentile and 67.83th CA percentile (-0.05σ Z-score) based on 2,537 billed procedures for 569 patients.

Fee-schedule auditing of NPI 1093006116 highlights 1040 annual claims for 99214 (69.23th Santa Monica percentile; $236–$323 self-pay corridor) plus 584 encounters under 94060 and 431 under 94729.

Direct cash-pay transparency modeling sets Dr. He's baseline new-consult rate near $239.00 in Santa Monica, CA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 19-minute average reception wait).

Credentialed as an MD specialist with 11 years post-graduation experience since completing medical school at an LCME/COCA institution (2015), Dr. He coordinates 63 Active CMS HCPCS Codes workups from 1223 16th St Ste 3400 (+1-806-555-1862).

Santa Monica Percentile 69.23th

Compared against Santa Monica, CA Pulmonary Disease peers

CA State Percentile 67.83th

2,537 annual services across 569 beneficiaries

Regional Volume Z-Score -0.052σ

Standard deviations from CA Pulmonary Disease 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 Pulmonary, Asthma & COPD Management 1,040 69.23th $236 – $323
94060 Pre- & Post-Bronchodilator Spirometry Airflow Evaluation 584 65.23th $154 – $211
94729 Alveolar Carbon Monoxide Diffusing Capacity (DLCO) 431 68.23th $140 – $191
95810 Attended Sleep Apnea Polysomnography Interpretation 279 67.23th $431 – $591
99204 Comprehensive New Patient Respiratory & Sleep Workup 203 74.23th $332 – $456
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Dr. Tao He, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. He National Provider Identifier NPI #1093006116 (MD) CMS NPPES Registry (90404)
Dr. He Santa Monica CMS Volume Rank 69.23th Pct (2,537 CMS svcs; Z -0.052σ) CMS Medicare Part B (CA Pulmonary Disease)
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 • 19 min lobby wait 17 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.59/5 Listening • 4.66/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
19 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $239.00
Listens Without Rushing
4.59/5
Patient communication rating
Modern Protocol Openness
4.66/5
Preventive labs, GLP-1s & HRT
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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