Dr. Pritiben Patel, MD
1500 Duarte Rd, Duarte, CA 91010 • +1-838-555-8764
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Duarte Percentiles
NPI #1720469828 • CBSA Regional • Family Practice
Within the Duarte, CA (CBSA local) Family Practice cohort, Dr. Pritiben Patel, MD with sub-specialty concentration in 12 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 21.16th CA percentile (-0.09σ Z-score) based on 854 billed procedures for 162 patients.
Fee-schedule auditing of NPI 1720469828 highlights 359 annual claims for 99214 (99th Duarte percentile; $190–$260 self-pay corridor) plus 265 encounters under 99213 and 102 under G0439.
For out-of-network patients contacting +1-838-555-8764, Dr. Patel's practice posts a $239.00 GPCI self-pay consult estimate ($239.00 patient-logged median, 4.53/5 composite reality score over 8 submissions).
NPI registry verification (#1720469828) confirms Dr. Pritiben Patel's MD standing serving CBSA 91010 with a 4.53/5 patient scorecard.
Top 10% Family Practice volume leader in Duarte, CA
854 annual services across 162 beneficiaries
Standard deviations from CA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 359 | 99th | $190 – $260 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 265 | 95th | $145 – $199 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 102 | 99th | $218 – $298 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 77 | 96th | $41 – $57 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 51 | 99.5th | $261 – $357 |
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Dr. Pritiben Patel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1720469828 (MD) | CMS NPPES Registry (91010) |
| Dr. Patel Duarte CMS Volume Rank | 99.00th Pct (854 CMS svcs; Z -0.085σ) | CMS Medicare Part B (CA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Duarte, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 22 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.62/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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