Dr. Karen Fong, MD
2637 Shadelands DR, Walnut Creek, CA 94598 • +1-216-555-2159
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Walnut Creek Percentiles
NPI #1548275068 • CBSA Regional • Otolaryngology
Dr. Karen Fong, MD (NPI #1548275068) practices Otolaryngology in Walnut Creek, CA (94598) with sub-specialty concentration in 29 Active CMS HCPCS Codes, recording 849 annual CMS services across 214 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Walnut Creek percentile) (-0.21σ vs CA state mean, 14.12th statewide percentile).
Fee-schedule auditing of NPI 1548275068 highlights 289 annual claims for 99213 (12th Walnut Creek percentile; $330–$452 self-pay corridor) plus 212 encounters under 31231 and 161 under 31575.
Direct cash-pay transparency modeling sets Dr. Fong's baseline new-consult rate near $239.00 in Walnut Creek, CA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 21-minute average reception wait).
Clinical background for Dr. Fong (MD, NPI #1548275068) includes accredited doctoral training (1993, 33 yrs in practice) and virtual + in-office availability across CA.
Compared against Walnut Creek, CA Otolaryngology peers
849 annual services across 214 beneficiaries
Standard deviations from CA Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 289 | 12th | $330 – $452 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 212 | 12th | $664 – $910 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 161 | 12th | $484 – $664 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 110 | 12th | $233 – $320 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 76 | 12th | $208 – $285 |
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Dr. Karen Fong, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fong National Provider Identifier | NPI #1548275068 (MD) | CMS NPPES Registry (94598) |
| Dr. Fong Walnut Creek CMS Volume Rank | 0.00th Pct (849 CMS svcs; Z -0.213σ) | CMS Medicare Part B (CA Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Walnut Creek, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 21 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.48/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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