Dr. Sherilyn Wheaton, MD
10885 Telegraph Rd, Ventura, CA 93004 • +1-542-555-2101
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Ventura Percentiles
NPI #1205861234 • CBSA Regional • Family Practice
Dr. Sherilyn Wheaton, MD (NPI #1205861234) practices Family Practice in Ventura, CA (93004) with sub-specialty concentration in 40 Active CMS HCPCS Codes, recording 675 annual CMS services across 199 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Ventura percentile) (-0.09σ vs CA state mean, 4.81th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Wheaton (averaging 3.4 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 35% of tracked volume (237 encounters), paired with 99213 (175x).
Direct cash-pay transparency modeling sets Dr. Wheaton's baseline new-consult rate near $239.00 in Ventura, CA (cash-pay accepted, in-person clinic visits only, 9-minute average reception wait).
NPI registry verification (#1205861234) confirms Dr. Sherilyn Wheaton's MD standing serving CBSA 93004 with a 4.52/5 patient scorecard.
Compared against Ventura, CA Family Practice peers
675 annual services across 199 beneficiaries
Standard deviations from CA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 237 | 12th | $167 – $229 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 175 | 12th | $128 – $175 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 68 | 12th | $192 – $263 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 51 | 12th | $36 – $51 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 34 | 12th | $230 – $315 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (40 HCPCS billing breadth) | 111 | 0th | $151 – $219 |
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Dr. Sherilyn Wheaton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wheaton National Provider Identifier | NPI #1205861234 (MD) | CMS NPPES Registry (93004) |
| Dr. Wheaton Ventura CMS Volume Rank | 0.00th Pct (675 CMS svcs; Z -0.090σ) | CMS Medicare Part B (CA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Ventura, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 9 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.65/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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