Dr. Marc Sonenshine, MD
980 Johnson Ferry Rd Ne, Suite 820, Atlanta, GA 30342 • +1-320-555-5172
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Atlanta Percentiles
NPI #1376681411 • CBSA 12060 • Gastroenterology
Within the Atlanta, GA (CBSA 12060) Gastroenterology cohort, Dr. Marc Sonenshine, MD with sub-specialty concentration in 37 Active CMS HCPCS Codes ranks at the 28.13th municipal percentile and 28.24th GA percentile (-0.51σ Z-score) based on 968 billed procedures for 599 patients.
Fee-schedule auditing of NPI 1376681411 highlights 358 annual claims for 99214 (28.13th Atlanta percentile; $203–$278 self-pay corridor) plus 242 encounters under 45380 and 203 under 43239.
Cash-pay intake data for NPI 1376681411 (980 Johnson Ferry Rd Ne, Suite 820, Atlanta) indicates $210.00 typical out-of-pocket visit spend against a $210.00 locality benchmark, paired with 16-minute average reception wait and 4.80/5 biomarker openness.
Clinical background for Dr. Sonenshine (MD, NPI #1376681411) includes accredited doctoral training (2017, 9 yrs in practice) and virtual + in-office availability across GA.
Compared against Atlanta, GA Gastroenterology peers
968 annual services across 599 beneficiaries
Standard deviations from GA 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 | 358 | 28.13th | $203 – $278 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 242 | 25.13th | $489 – $671 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 203 | 29.13th | $406 – $557 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 97 | 24.13th | $545 – $746 |
| 99204 | New Patient Digestive & Hepatology Consultation | 68 | 32.13th | $286 – $392 |
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Dr. Marc Sonenshine, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sonenshine National Provider Identifier | NPI #1376681411 (MD) | CMS NPPES Registry (30342) |
| Dr. Sonenshine Atlanta CMS Volume Rank | 28.13th Pct (968 CMS svcs; Z -0.507σ) | CMS Medicare Part B (GA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $210.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Atlanta, GA) |
| Waiting-Room Wait Time & Cash Friendliness | $210.00 avg paid • 16 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.80/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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