Dr. Dithi Shetty, MD
1200 N Beaver St, Flagstaff, AZ 86001 • +1-340-555-3185
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Flagstaff Percentiles
NPI #1427037357 • CBSA Regional • Infectious Disease
Anchored in Flagstaff, AZ 86001, Dr. Dithi Shetty, MD (NPI 1427037357) logged 853 annual procedures (focused low-volume boutique caseload (25th Flagstaff percentile), 12.07th AZ percentile, -0.21σ) with sub-specialty concentration in 16 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1427037357 highlights 384 annual claims for 99214 (25th Flagstaff percentile; $162–$222 self-pay corridor) plus 222 encounters under 99213 and 111 under 93000.
Self-pay new patient consultations with Dr. Shetty (CPT 99204 GPCI-adjusted benchmark) estimate around $207.00 (community reported average: $207.00) with hybrid in-clinic and telehealth video consults, 11-minute average reception wait, and a 4.61/5 modern protocol openness score across 13 patient logs.
Clinical background for Dr. Shetty (MD, NPI #1427037357) includes accredited doctoral training (2011, 15 yrs in practice) and virtual + in-office availability across AZ.
Compared against Flagstaff, AZ Infectious Disease peers
853 annual services across 183 beneficiaries
Standard deviations from AZ Infectious Disease 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 | 384 | 25th | $162 – $222 |
| 99213 | Established Preventive & Chronic Care Visit | 222 | 24th | $124 – $170 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 111 | 27th | $59 – $81 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 85 | 23th | $190 – $261 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 51 | 30th | $226 – $309 |
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Dr. Dithi Shetty, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shetty National Provider Identifier | NPI #1427037357 (MD) | CMS NPPES Registry (86001) |
| Dr. Shetty Flagstaff CMS Volume Rank | 25.00th Pct (853 CMS svcs; Z -0.210σ) | CMS Medicare Part B (AZ Infectious Disease) |
| Fair Cash-Pay New-Patient Benchmark | $207.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Flagstaff, AZ) |
| Waiting-Room Wait Time & Cash Friendliness | $207.00 avg paid • 11 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.61/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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