Dr. Sammy Mugambi, MD
3620 M L King Jr DR Sw, Atlanta, GA 30331 • +1-652-555-8459
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Atlanta Percentiles
NPI #1427077510 • CBSA 12060 • Internal Medicine
Within the Atlanta, GA (CBSA 12060) Internal Medicine cohort, Dr. Sammy Mugambi, MD with sub-specialty concentration in 25 Active CMS HCPCS Codes ranks at the 59.81th municipal percentile and 49.89th GA percentile (-0.12σ Z-score) based on 1,478 billed procedures for 190 patients.
Fee-schedule auditing of NPI 1427077510 highlights 665 annual claims for 99214 (59.81th Atlanta percentile; $206–$282 self-pay corridor) plus 384 encounters under 99213 and 192 under 93000.
Direct cash-pay transparency modeling sets Dr. Mugambi's baseline new-consult rate near $210.00 in Atlanta, GA (cash-pay accepted, in-person clinic visits only, 15-minute average reception wait).
From 3620 M L King Jr DR Sw in Atlanta (+1-652-555-8459), Dr. Mugambi, MD (22-year clinical track record) delivers 25 Active CMS HCPCS Codes care.
Compared against Atlanta, GA Internal Medicine peers
1,478 annual services across 190 beneficiaries
Standard deviations from GA Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 665 | 59.81th | $206 – $282 |
| 99213 | Established Preventive & Chronic Care Visit | 384 | 61.81th | $157 – $216 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 192 | 63.81th | $75 – $103 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 148 | 56.81th | $241 – $331 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 89 | 56.81th | $286 – $392 |
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Dr. Sammy Mugambi, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mugambi National Provider Identifier | NPI #1427077510 (MD) | CMS NPPES Registry (30331) |
| Dr. Mugambi Atlanta CMS Volume Rank | 59.81th Pct (1,478 CMS svcs; Z -0.120σ) | CMS Medicare Part B (GA Internal Medicine) |
| 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 • 15 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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