Dr. Ambrish Ghumman, MD
1409 E Briggsmore Ave, Modesto, CA 95355 • +1-457-555-5411
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Modesto Percentiles
NPI #1093019929 • CBSA Regional • Gastroenterology
Operating out of Modesto, CA (1409 E Briggsmore Ave), Gastroenterology clinician Dr. Ambrish Ghumman, MD (accredited MD/DO training, 2002) maintains a upper-quartile active clinical volume (66.67th Modesto percentile) (67.32th CA percentile; Z-score -0.14σ across 1,514 documented services) with sub-specialty concentration in 41 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1093019929 highlights 560 annual claims for 99214 (66.67th Modesto percentile; $223–$305 self-pay corridor) plus 379 encounters under 45380 and 318 under 43239.
Self-pay new patient consultations with Dr. Ghumman (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 19-minute average reception wait, and a 4.48/5 modern protocol openness score across 13 patient logs.
Credentialed as an MD specialist with 24 years post-graduation experience since completing medical school at an LCME/COCA institution (2002), Dr. Ghumman coordinates 41 Active CMS HCPCS Codes workups from 1409 E Briggsmore Ave (+1-457-555-5411).
Compared against Modesto, CA Gastroenterology peers
1,514 annual services across 792 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 | 560 | 66.67th | $223 – $305 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 379 | 66.67th | $536 – $735 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 318 | 71.67th | $445 – $610 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 151 | 67.67th | $597 – $818 |
| 99204 | New Patient Digestive & Hepatology Consultation | 106 | 65.67th | $314 – $430 |
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Dr. Ambrish Ghumman, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ghumman National Provider Identifier | NPI #1093019929 (MD) | CMS NPPES Registry (95355) |
| Dr. Ghumman Modesto CMS Volume Rank | 66.67th Pct (1,514 CMS svcs; Z -0.138σ) | CMS Medicare Part B (CA Gastroenterology) |
| 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 • 19 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.48/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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