Dr. Gerard Victor Sebastian, MD
2005 W Main St Ste 110, Battle Ground, WA 98604 • +1-592-555-5304
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Battle Ground Percentiles
NPI #1790090611 • CBSA Regional • Family Practice
Dr. Gerard Victor Sebastian, MD (NPI #1790090611) practices Family Practice in Battle Ground, WA (98604) with sub-specialty concentration in 55 Active CMS HCPCS Codes, recording 629 annual CMS services across 85 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Battle Ground percentile) (-0.29σ vs WA state mean, 0.25th statewide percentile).
Medicare Part B line-item claims for Dr. Gerard Victor Sebastian (98604) place 99214 at the top of the practice ledger (264 yearly units, 12th metro rank), rounded out by 99213 and G0439.
Direct cash-pay transparency modeling sets Dr. Sebastian's baseline new-consult rate near $222.00 in Battle Ground, WA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 12-minute average reception wait).
Patients evaluating Dr. Gerard Victor Sebastian in ZIP 98604 note 20 years of post-doctoral tenure (null, 2006) alongside 7.4 annual CMS procedures per patient.
Compared against Battle Ground, WA Family Practice peers
629 annual services across 85 beneficiaries
Standard deviations from WA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 264 | 12th | $75 – $103 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 195 | 12th | $58 – $79 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 75 | 12th | $86 – $118 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 57 | 12th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 38 | 12th | $103 – $142 |
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Dr. Gerard Victor Sebastian, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sebastian National Provider Identifier | NPI #1790090611 (MD) | CMS NPPES Registry (98604) |
| Dr. Sebastian Battle Ground CMS Volume Rank | 0.00th Pct (629 CMS svcs; Z -0.289σ) | CMS Medicare Part B (WA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Battle Ground, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 12 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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