Dr. Thomas Ence, MD
18399 Ventura Blvd, Suite 245, Tarzana, CA 91356 • +1-404-555-4164
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Tarzana Percentiles
NPI #1497779508 • CBSA Regional • Pulmonary Disease
Within the Tarzana, CA (CBSA local) Pulmonary Disease cohort, Dr. Thomas Ence, MD with sub-specialty concentration in 17 Active CMS HCPCS Codes ranks at the 25th municipal percentile and 67.46th CA percentile (-0.06σ Z-score) based on 2,519 billed procedures for 740 patients.
Dr. Ence's longitudinal care intensity (3.4 billed units per patient across 740 individuals) centers on 99214 (1033 annual units) and 94060 ($131–$180 cash range).
Direct cash-pay transparency modeling sets Dr. Ence's baseline new-consult rate near $239.00 in Tarzana, CA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 13-minute average reception wait).
Clinical background for Dr. Ence (MD, NPI #1497779508) includes accredited doctoral training (1997, 29 yrs in practice) and virtual + in-office availability across CA.
Compared against Tarzana, CA Pulmonary Disease peers
2,519 annual services across 740 beneficiaries
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 | 1,033 | 25th | $201 – $276 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 579 | 24th | $131 – $180 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 428 | 26th | $119 – $163 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 277 | 30th | $367 – $503 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 202 | 29th | $283 – $388 |
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Dr. Thomas Ence, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ence National Provider Identifier | NPI #1497779508 (MD) | CMS NPPES Registry (91356) |
| Dr. Ence Tarzana CMS Volume Rank | 25.00th Pct (2,519 CMS svcs; Z -0.056σ) | CMS Medicare Part B (CA Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Tarzana, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 13 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.85/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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