Dr. Shirley Pua, MD
5400 W Hillsdale Ave, Visalia, CA 93291 • +1-399-555-1201
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Visalia Percentiles
NPI #1164426961 • CBSA Regional • Gastroenterology
Statistical peer benchmarking across CA Gastroenterology providers positions Dr. Shirley Pua, MD in Visalia at -0.33σ (0th city percentile / 16.4th state percentile, 313 Medicare beneficiaries), with clinical focus spanning 22 Active CMS HCPCS Codes.
Procedural volume for Dr. Pua is led by HCPCS 99214 (Established Gastroenterology, GERD & IBD Evaluation — 294 annual services, $186–$255 GPCI cash estimate), followed by CPT 45380 (Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy, 199/yr) and CPT 43239 (Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy, 167/yr).
Direct cash-pay transparency modeling sets Dr. Pua's baseline new-consult rate near $239.00 in Visalia, CA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 11-minute average reception wait).
NPI registry verification (#1164426961) confirms Dr. Shirley Pua's MD standing serving CBSA 93291 with a 4.58/5 patient scorecard.
Compared against Visalia, CA Gastroenterology peers
794 annual services across 313 beneficiaries
Standard deviations from CA Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 294 | 12th | $186 – $255 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 199 | 12th | $449 – $615 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 167 | 12th | $372 – $510 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 79 | 12th | $499 – $684 |
| 99204 | New Patient Digestive & Hepatology Consultation | 56 | 12th | $262 – $360 |
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Dr. Shirley Pua, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pua National Provider Identifier | NPI #1164426961 (MD) | CMS NPPES Registry (93291) |
| Dr. Pua Visalia CMS Volume Rank | 0.00th Pct (794 CMS svcs; Z -0.326σ) | CMS Medicare Part B (CA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Visalia, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 11 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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