Dr. Sushil Ojha, MD
11480 Brookshire Avenue, Suite 308, Downey, CA 90241 • +1-615-555-7294
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Downey Percentiles
NPI #1053377093 • CBSA Regional • Gastroenterology
Within the Downey, CA (CBSA local) Gastroenterology cohort, Dr. Sushil Ojha, MD with sub-specialty concentration in 24 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 20.73th CA percentile (-0.32σ Z-score) based on 826 billed procedures for 402 patients.
Fee-schedule auditing of NPI 1053377093 highlights 306 annual claims for 99214 (99th Downey percentile; $192–$263 self-pay corridor) plus 207 encounters under 45380 and 173 under 43239.
Self-pay new patient consultations with Dr. Ojha (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 21-minute average reception wait, and a 4.47/5 modern protocol openness score across 11 patient logs.
Patients evaluating Dr. Sushil Ojha in ZIP 90241 note 14 years of post-doctoral tenure (null, 2012) alongside 2.1 annual CMS procedures per patient.
Top 10% Gastroenterology volume leader in Downey, CA
826 annual services across 402 beneficiaries
Standard deviations from CA 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 | 306 | 99th | $192 – $263 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 207 | 99th | $462 – $633 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 173 | 96th | $383 – $525 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 83 | 95th | $514 – $705 |
| 99204 | New Patient Digestive & Hepatology Consultation | 58 | 99th | $270 – $370 |
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Dr. Sushil Ojha, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ojha National Provider Identifier | NPI #1053377093 (MD) | CMS NPPES Registry (90241) |
| Dr. Ojha Downey CMS Volume Rank | 99.00th Pct (826 CMS svcs; Z -0.317σ) | CMS Medicare Part B (CA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Downey, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 21 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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