Dr. Joshua Spanogle, MD
2290 Sacramento St, Vallejo, CA 94590 • +1-273-555-1269
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Vallejo Percentiles
NPI #1750564407 • CBSA Regional • Dermatology
Anchored in Vallejo, CA 94590, Dr. Joshua Spanogle, MD (NPI 1750564407) logged 631 annual procedures (focused low-volume boutique caseload (0th Vallejo percentile), 0.08th CA percentile, -0.34σ) with sub-specialty concentration in 59 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1750564407 highlights 215 annual claims for 17000 (12th Vallejo percentile; $528–$724 self-pay corridor) plus 196 encounters under 99213 and 120 under 11102.
Self-pay new patient consultations with Dr. Spanogle (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 15-minute average reception wait, and a 4.81/5 modern protocol openness score across 13 patient logs.
Clinical background for Dr. Spanogle (MD, NPI #1750564407) includes accredited doctoral training (2005, 21 yrs in practice) and virtual + in-office availability across CA.
Compared against Vallejo, CA Dermatology peers
631 annual services across 165 beneficiaries
Standard deviations from CA Dermatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 17000 | Cryotherapy Destruction of Premalignant Actinic Lesion | 215 | 12th | $528 – $724 |
| 99213 | Focused Cutaneous & Dermoscopic Examination | 196 | 12th | $590 – $809 |
| 11102 | Tangential Diagnostic Skin Biopsy of Single Lesion | 120 | 12th | $777 – $1065 |
| 11401 | Excision of Benign Cutaneous Lesion (0.6 to 1.0 cm) | 63 | 12th | $1088 – $1490 |
| 99203 | New Patient Full-Body Skin Cancer & Dermatology Evaluation | 38 | 12th | $839 – $1150 |
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Dr. Joshua Spanogle, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spanogle National Provider Identifier | NPI #1750564407 (MD) | CMS NPPES Registry (94590) |
| Dr. Spanogle Vallejo CMS Volume Rank | 0.00th Pct (631 CMS svcs; Z -0.336σ) | CMS Medicare Part B (CA Dermatology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Vallejo, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 15 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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