Dr. Sheldon Chen, MD
1515 Holcombe Blvd, Houston, TX 77030 • +1-670-555-9702
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Houston Percentiles
NPI #1003921495 • CBSA 26420 • Nephrology
Statistical peer benchmarking across TX Nephrology providers positions Dr. Sheldon Chen, MD in Houston at -0.38σ (26.5th city percentile / 16.02th state percentile, 307 Medicare beneficiaries), with clinical focus spanning 16 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Sheldon Chen (77030) place 99214 at the top of the practice ledger (477 yearly units, 26.5th metro rank), rounded out by 90960 and 99215.
Self-pay new patient consultations with Dr. Chen (CPT 99204 GPCI-adjusted benchmark) estimate around $212.00 (community reported average: $212.00) with hybrid in-clinic and telehealth video consults, 11-minute average reception wait, and a 4.88/5 modern protocol openness score across 19 patient logs.
Clinical background for Dr. Chen (MD, NPI #1003921495) includes accredited doctoral training (2008, 18 yrs in practice) and virtual + in-office availability across TX.
Compared against Houston, TX Nephrology peers
993 annual services across 307 beneficiaries
Standard deviations from TX Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 477 | 26.5th | $197 – $270 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 218 | 24.5th | $394 – $540 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 179 | 29.5th | $287 – $394 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 119 | 24.5th | $271 – $371 |
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Dr. Sheldon Chen, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Chen National Provider Identifier | NPI #1003921495 (MD) | CMS NPPES Registry (77030) |
| Dr. Chen Houston CMS Volume Rank | 26.50th Pct (993 CMS svcs; Z -0.384σ) | CMS Medicare Part B (TX Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $212.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Houston, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $212.00 avg paid • 11 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.88/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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