Dr. Upinder Rohewal, MD
1441 Florida Ave, Modesto, CA 95350 • +1-691-555-4900
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Modesto Percentiles
NPI #1407051675 • CBSA Regional • Internal Medicine
Within the Modesto, CA (CBSA local) Internal Medicine cohort, Dr. Upinder Rohewal, MD with sub-specialty concentration in 9 Active CMS HCPCS Codes ranks at the 45.71th municipal percentile and 28.97th CA percentile (-0.10σ Z-score) based on 991 billed procedures for 748 patients.
Fee-schedule auditing of NPI 1407051675 highlights 446 annual claims for 99214 (45.71th Modesto percentile; $262–$359 self-pay corridor) plus 258 encounters under 99213 and 129 under 93000.
Self-pay new patient consultations with Dr. Rohewal (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with in-person clinic visits only, 19-minute average reception wait, and a 4.65/5 modern protocol openness score across 3 patient logs.
Clinical background for Dr. Rohewal (MD, NPI #1407051675) includes accredited doctoral training (1998, 28 yrs in practice) and dedicated on-site consultations at 1441 Florida Ave.
Compared against Modesto, CA Internal Medicine peers
991 annual services across 748 beneficiaries
Standard deviations from CA Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 446 | 45.71th | $262 – $359 |
| 99213 | Established Preventive & Chronic Care Visit | 258 | 49.71th | $200 – $274 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 129 | 41.71th | $96 – $131 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 99 | 48.71th | $307 – $421 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 59 | 47.71th | $364 – $499 |
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Dr. Upinder Rohewal, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rohewal National Provider Identifier | NPI #1407051675 (MD) | CMS NPPES Registry (95350) |
| Dr. Rohewal Modesto CMS Volume Rank | 45.71th Pct (991 CMS svcs; Z -0.099σ) | CMS Medicare Part B (CA Internal Medicine) |
| 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 | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.65/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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