Dr. Nirali Patel, MD
600 Coffee Rd, Modesto, CA 95355 • +1-457-555-7050
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Modesto Percentiles
NPI #1841256948 • CBSA Regional • Endocrinology
Operating out of Modesto, CA (600 Coffee Rd), Endocrinology clinician Dr. Nirali Patel, MD (accredited MD/DO training, 2007) maintains a mid-cohort balanced caseload (40th Modesto percentile) (86.97th CA percentile; Z-score +0.80σ across 17,543 documented services) with sub-specialty concentration in 18 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Patel (averaging 17.2 services per beneficiary), 99214 (Complex Endocrine, Thyroid & Metabolic Biomarker Management) represents 5% of tracked volume (935 encounters), paired with 95251 (467x).
Self-pay new patient consultations with Dr. Patel (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with in-person clinic visits only, 17-minute average reception wait, and a 4.49/5 modern protocol openness score across 3 patient logs.
Clinical background for Dr. Patel (MD, NPI #1841256948) includes accredited doctoral training (2007, 19 yrs in practice) and dedicated on-site consultations at 600 Coffee Rd.
Compared against Modesto, CA Endocrinology peers
17,543 annual services across 1,017 beneficiaries
Standard deviations from CA Endocrinology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Complex Endocrine, Thyroid & Metabolic Biomarker Management | 935 | 40th | $65 – $89 |
| 95251 | Ambulatory Continuous Glucose Monitoring (CGM) Data Analysis | 467 | 38th | $41 – $56 |
| 76536 | High-Resolution Thyroid & Parathyroid Neck Ultrasound | 340 | 43th | $79 – $108 |
| 99204 | Comprehensive New Patient Endocrine & Hormone Workup | 255 | 43th | $90 – $123 |
| 99215 | High-Complexity Multi-Hormone & Insulin Pump Titration | 127 | 37th | $101 – $138 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (18 HCPCS billing breadth) | 15,419 | 40th | $56 – $81 |
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Dr. Nirali Patel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1841256948 (MD) | CMS NPPES Registry (95355) |
| Dr. Patel Modesto CMS Volume Rank | 40.00th Pct (17,543 CMS svcs; Z +0.802σ) | CMS Medicare Part B (CA Endocrinology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Modesto, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 17 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.49/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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