Dr. Sanjay Verma, MD
10815 W Mcdowell Rd Ste 304, Avondale, AZ 85392 • +1-583-555-1819
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Avondale Percentiles
NPI #1770536138 • CBSA Regional • Gastroenterology
Operating out of Avondale, AZ (10815 W Mcdowell Rd Ste 304), Gastroenterology clinician Dr. Sanjay Verma, MD (accredited MD/DO training, 2000) maintains a focused low-volume boutique caseload (0th Avondale percentile) (28.97th AZ percentile; Z-score -0.49σ across 852 documented services) with sub-specialty concentration in 18 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1770536138 highlights 315 annual claims for 99214 (12th Avondale percentile; $333–$456 self-pay corridor) plus 213 encounters under 45380 and 179 under 43239.
Self-pay new patient consultations with Dr. Verma (CPT 99204 GPCI-adjusted benchmark) estimate around $207.00 (community reported average: $207.00) with hybrid in-clinic and telehealth video consults, 14-minute average reception wait, and a 4.73/5 modern protocol openness score across 26 patient logs.
Clinical background for Dr. Verma (MD, NPI #1770536138) includes accredited doctoral training (2000, 26 yrs in practice) and virtual + in-office availability across AZ.
Compared against Avondale, AZ Gastroenterology peers
852 annual services across 435 beneficiaries
Standard deviations from AZ Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 315 | 12th | $333 – $456 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 213 | 12th | $802 – $1099 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 179 | 12th | $666 – $912 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 85 | 12th | $892 – $1223 |
| 99204 | New Patient Digestive & Hepatology Consultation | 60 | 12th | $469 – $643 |
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Dr. Sanjay Verma, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Verma National Provider Identifier | NPI #1770536138 (MD) | CMS NPPES Registry (85392) |
| Dr. Verma Avondale CMS Volume Rank | 0.00th Pct (852 CMS svcs; Z -0.488σ) | CMS Medicare Part B (AZ Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $207.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Avondale, AZ) |
| Waiting-Room Wait Time & Cash Friendliness | $207.00 avg paid • 14 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.73/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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