Dr. Sapna Shah, MD
1520 San Pablo St Ste 1000, Los Angeles, CA 90033 • +1-895-555-3202
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Los Angeles Percentiles
NPI #1154664829 • CBSA 31080 • Nephrology
Statistical peer benchmarking across CA Nephrology providers positions Dr. Sapna Shah, MD in Los Angeles at -0.40σ (33.33th city percentile / 19.65th state percentile, 323 Medicare beneficiaries), with clinical focus spanning 16 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1154664829 highlights 558 annual claims for 99214 (33.33th Los Angeles percentile; $189–$259 self-pay corridor) plus 256 encounters under 90960 and 209 under 99215.
Self-pay new patient consultations with Dr. Shah (CPT 99204 GPCI-adjusted benchmark) estimate around $231.00 (community reported average: $231.00) with hybrid in-clinic and telehealth video consults, 14-minute average reception wait, and a 4.88/5 modern protocol openness score across 22 patient logs.
Clinical background for Dr. Shah (MD, NPI #1154664829) includes accredited doctoral training (1996, 30 yrs in practice) and virtual + in-office availability across CA.
Compared against Los Angeles, CA Nephrology peers
1,163 annual services across 323 beneficiaries
Standard deviations from CA Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 558 | 33.33th | $189 – $259 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 256 | 38.33th | $378 – $518 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 209 | 32.33th | $276 – $378 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 140 | 33.33th | $260 – $356 |
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Dr. Sapna Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1154664829 (MD) | CMS NPPES Registry (90033) |
| Dr. Shah Los Angeles CMS Volume Rank | 33.33th Pct (1,163 CMS svcs; Z -0.397σ) | CMS Medicare Part B (CA Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $231.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Los Angeles, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $231.00 avg paid • 14 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.88/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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