Dr. Jenica Upshaw, MD
800 Washington St, Boston, MA 02111 • +1-747-555-5629
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Boston Percentiles
NPI #1295994820 • CBSA 14460 • Advanced Heart Failure and Transplant Cardiology
Statistical peer benchmarking across MA Advanced Heart Failure and Transplant Cardiology providers positions Dr. Jenica Upshaw, MD in Boston at -1.15σ (5.56th city percentile / 11.11th state percentile, 489 Medicare beneficiaries), with clinical focus spanning 30 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Upshaw (averaging 1.7 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (383 encounters), paired with 99213 (222x).
At 800 Washington St (02111), Dr. Jenica Upshaw, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$227.00 per new consult (4.76/5 bedside rating).
From 800 Washington St in Boston (+1-747-555-5629), Dr. Upshaw, MD (28-year clinical track record) delivers 30 Active CMS HCPCS Codes care.
Compared against Boston, MA Advanced Heart Failure and Transplant Cardiology peers
852 annual services across 489 beneficiaries
Standard deviations from MA Advanced Heart Failure and Transplant Cardiology 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 | 383 | 12th | $102 – $139 |
| 99213 | Established Preventive & Chronic Care Visit | 222 | 12th | $78 – $107 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 111 | 12th | $37 – $52 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 85 | 12th | $119 – $163 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 51 | 12th | $141 – $194 |
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Dr. Jenica Upshaw, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Upshaw National Provider Identifier | NPI #1295994820 (MD) | CMS NPPES Registry (02111) |
| Dr. Upshaw Boston CMS Volume Rank | 5.56th Pct (852 CMS svcs; Z -1.148σ) | CMS Medicare Part B (MA Advanced Heart Failure and Transplant Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $227.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Boston, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $227.00 avg paid • 12 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.53/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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