Dr. Jay Lopez, MD
21632 Highway 99, Edmonds, WA 98026 • +1-568-555-4917
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Edmonds Percentiles
NPI #1164788444 • CBSA Regional • Internal Medicine
Within the Edmonds, WA (CBSA local) Internal Medicine cohort, Dr. Jay Lopez, MD with sub-specialty concentration in 12 Active CMS HCPCS Codes ranks at the 45.45th municipal percentile and 48.53th WA percentile (-0.23σ Z-score) based on 1,181 billed procedures for 235 patients.
Granular CPT/HCPCS billing distribution at 21632 Highway 99 shows Dr. Jay Lopez's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 531x/yr, 45.45th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 307x/yr, $80–$110).
For out-of-network patients contacting +1-568-555-4917, Dr. Lopez's practice posts a $222.00 GPCI self-pay consult estimate ($222.00 patient-logged median, 4.93/5 composite reality score over 8 submissions).
From 21632 Highway 99 in Edmonds (+1-568-555-4917), Dr. Lopez, MD (14-year clinical track record) delivers 12 Active CMS HCPCS Codes care.
Compared against Edmonds, WA Internal Medicine peers
1,181 annual services across 235 beneficiaries
Standard deviations from WA 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 | 531 | 45.45th | $105 – $144 |
| 99213 | Established Preventive & Chronic Care Visit | 307 | 48.45th | $80 – $110 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 154 | 42.45th | $38 – $53 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 118 | 46.45th | $123 – $169 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 71 | 42.45th | $146 – $200 |
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Dr. Jay Lopez, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lopez National Provider Identifier | NPI #1164788444 (MD) | CMS NPPES Registry (98026) |
| Dr. Lopez Edmonds CMS Volume Rank | 45.45th Pct (1,181 CMS svcs; Z -0.226σ) | CMS Medicare Part B (WA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Edmonds, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 12 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.88/5 Listening • 4.48/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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