Dr. Nilay Kavathia, MD
603 W Baseline Rd Ste 200, Mesa, AZ 85210 • +1-620-555-4754
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Mesa Percentiles
NPI #1174796999 • CBSA Regional • Gastroenterology
CMS Medicare Part B utilization records credit Dr. Nilay Kavathia (MD, NPI 1174796999) at 603 W Baseline Rd Ste 200 in Mesa with 13,433 annual clinical services (560 beneficiaries), corresponding to a +3.54σ regional deviation and top-decile high-throughput specialist (90.91th percentile in Mesa) with sub-specialty concentration in 34 Active CMS HCPCS Codes.
Procedural volume for Dr. Kavathia is led by HCPCS 99214 (Established Gastroenterology, GERD & IBD Evaluation — 440 annual services, $47–$65 GPCI cash estimate), followed by CPT 45380 (Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy, 297/yr) and CPT 43239 (Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy, 249/yr).
At 603 W Baseline Rd Ste 200 (85210), Dr. Nilay Kavathia, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$207.00 per new consult (4.71/5 bedside rating).
Credentialed as an MD specialist with 26 years post-graduation experience since completing medical school at an LCME/COCA institution (2000), Dr. Kavathia coordinates 34 Active CMS HCPCS Codes workups from 603 W Baseline Rd Ste 200 (+1-620-555-4754).
Top 10% Gastroenterology volume leader in Mesa, AZ
13,433 annual services across 560 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 | 440 | 90.91th | $47 – $65 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 297 | 89.91th | $114 – $157 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 249 | 88.91th | $95 – $130 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 119 | 85.91th | $127 – $174 |
| 99204 | New Patient Digestive & Hepatology Consultation | 83 | 92.91th | $67 – $92 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (34 HCPCS billing breadth) | 12,245 | 90.91th | $45 – $65 |
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Dr. Nilay Kavathia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kavathia National Provider Identifier | NPI #1174796999 (MD) | CMS NPPES Registry (85210) |
| Dr. Kavathia Mesa CMS Volume Rank | 90.91th Pct (13,433 CMS svcs; Z +3.545σ) | CMS Medicare Part B (AZ Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $207.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mesa, AZ) |
| Waiting-Room Wait Time & Cash Friendliness | $207.00 avg paid • 17 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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