Dr. Jerry Lai, MD
323 N Mathilda Ave, Sunnyvale, CA 94085 • +1-404-555-2120
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Sunnyvale Percentiles
NPI #1720205917 • CBSA Regional • Ophthalmology
Dr. Jerry Lai, MD (NPI #1720205917) practices Ophthalmology in Sunnyvale, CA (94085) with sub-specialty concentration in 53 Active CMS HCPCS Codes, recording 2,501 annual CMS services across 441 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (28.57th Sunnyvale percentile) (-0.33σ vs CA state mean, 41.91th statewide percentile).
Dr. Lai's longitudinal care intensity (5.7 billed units per patient across 441 individuals) centers on 92014 (925 annual units) and 92134 ($128–$176 cash range).
Direct cash-pay transparency modeling sets Dr. Lai's baseline new-consult rate near $239.00 in Sunnyvale, CA (cash-pay accepted, in-person clinic visits only, 18-minute average reception wait).
NPI registry verification (#1720205917) confirms Dr. Jerry Lai's MD standing serving CBSA 94085 with a 4.65/5 patient scorecard.
Compared against Sunnyvale, CA Ophthalmology peers
2,501 annual services across 441 beneficiaries
Standard deviations from CA Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 925 | 28.57th | $233 – $319 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 650 | 23.57th | $128 – $176 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 425 | 29.57th | $154 – $211 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 300 | 32.57th | $280 – $384 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 200 | 28.57th | $1026 – $1406 |
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Dr. Jerry Lai, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lai National Provider Identifier | NPI #1720205917 (MD) | CMS NPPES Registry (94085) |
| Dr. Lai Sunnyvale CMS Volume Rank | 28.57th Pct (2,501 CMS svcs; Z -0.329σ) | CMS Medicare Part B (CA Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sunnyvale, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 18 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.88/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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