Dr. Mark Nishiya, MD
2373 G Rd, Suite 200, Grand Junction, CO 81505 • +1-758-555-9157
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Grand Junction Percentiles
NPI #1760411995 • CBSA Regional • Urology
Statistical peer benchmarking across CO Urology providers positions Dr. Mark Nishiya, MD in Grand Junction at -0.58σ (0th city percentile / 14.96th state percentile, 289 Medicare beneficiaries), with clinical focus spanning 88 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Nishiya (averaging 6.2 services per beneficiary), 99214 (Established Urologic, BPH & Androgen Evaluation) represents 36% of tracked volume (648 encounters), paired with 51798 (486x).
Self-pay new patient consultations with Dr. Nishiya (CPT 99204 GPCI-adjusted benchmark) estimate around $211.00 (community reported average: $211.00) with in-person clinic visits only, 17-minute average reception wait, and a 4.41/5 modern protocol openness score across 21 patient logs.
Patients evaluating Dr. Mark Nishiya in ZIP 81505 note 10 years of post-doctoral tenure (null, 2016) alongside 6.2 annual CMS procedures per patient.
Compared against Grand Junction, CO Urology peers
1,800 annual services across 289 beneficiaries
Standard deviations from CO Urology 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 Urologic, BPH & Androgen Evaluation | 648 | 12th | $158 – $216 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 486 | 12th | $66 – $90 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 306 | 12th | $322 – $441 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 216 | 12th | $89 – $122 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 144 | 12th | $222 – $304 |
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Dr. Mark Nishiya, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nishiya National Provider Identifier | NPI #1760411995 (MD) | CMS NPPES Registry (81505) |
| Dr. Nishiya Grand Junction CMS Volume Rank | 0.00th Pct (1,800 CMS svcs; Z -0.583σ) | CMS Medicare Part B (CO Urology) |
| Fair Cash-Pay New-Patient Benchmark | $211.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Grand Junction, CO) |
| Waiting-Room Wait Time & Cash Friendliness | $211.00 avg paid • 17 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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