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Emergency Medicine • Grand Rapids, MI 49503 • NPI #1407177884

Dr. David Ishiyama, MD

1000 Monroe Ave Nw, Grmep, Grand Rapids, MI 49503 • +1-366-555-3370

Medical Education: Accredited U.S. Medical School (Class of 2013)

38 Active CMS HCPCS Codes
4.81/5
Waiting-Room Score
24 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Grand Rapids Percentiles

NPI #1407177884 • CBSA Regional • Emergency Medicine

Dr. David Ishiyama DotMD Verification Badge

CMS Medicare Part B utilization records credit Dr. David Ishiyama (MD, NPI 1407177884) at 1000 Monroe Ave Nw, Grmep in Grand Rapids with 764 annual clinical services (545 beneficiaries), corresponding to a -0.31σ regional deviation and focused low-volume boutique caseload (14.29th Grand Rapids percentile) with sub-specialty concentration in 38 Active CMS HCPCS Codes.

Procedural volume for Dr. Ishiyama is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 344 annual services, $205–$280 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 199/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 99/yr).

Direct cash-pay transparency modeling sets Dr. Ishiyama's baseline new-consult rate near $209.00 in Grand Rapids, MI (cash-pay accepted, in-person clinic visits only, 18-minute average reception wait).

Credentialed as an MD specialist with 13 years post-graduation experience since completing medical school at an LCME/COCA institution (2013), Dr. Ishiyama coordinates 38 Active CMS HCPCS Codes workups from 1000 Monroe Ave Nw, Grmep (+1-366-555-3370).

Grand Rapids Percentile 14.29th

Compared against Grand Rapids, MI Emergency Medicine peers

MI State Percentile 42.90th

764 annual services across 545 beneficiaries

Regional Volume Z-Score -0.310σ

Standard deviations from MI Emergency 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 344 14.29th $205 – $280
99213 Established Preventive & Chronic Care Visit 199 12th $157 – $215
93000 In-Office 12-Lead Resting Electrocardiogram 99 12th $75 – $102
G0439 Annual Preventive Wellness & Cardiometabolic Risk Assessment 76 17.29th $240 – $329
99204 Comprehensive New Patient Internal Medicine Diagnostic Visit 46 18.29th $285 – $390
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Dr. David Ishiyama, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Ishiyama National Provider Identifier NPI #1407177884 (MD) CMS NPPES Registry (49503)
Dr. Ishiyama Grand Rapids CMS Volume Rank 14.29th Pct (764 CMS svcs; Z -0.310σ) CMS Medicare Part B (MI Emergency Medicine)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Grand Rapids, MI)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 18 min lobby wait 24 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.66/5 Listening • 4.92/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
18 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.66/5
Patient communication rating
Modern Protocol Openness
4.92/5
Preventive labs, GLP-1s & HRT
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