Dr. Kalpit Shah, MD
2205 Vista Way, Oceanside, CA 92054 • +1-628-555-6261
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Oceanside Percentiles
NPI #1326450040 • CBSA Regional • Hand Surgery
Within the Oceanside, CA (CBSA local) Hand Surgery cohort, Dr. Kalpit Shah, MD with sub-specialty concentration in 111 Active CMS HCPCS Codes ranks at the 66.67th municipal percentile and 85.15th CA percentile (+0.75σ Z-score) based on 6,050 billed procedures for 646 patients.
Among 6 tracked CMS fee-schedule codes for Dr. Shah (averaging 9.4 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 17% of tracked volume (1054 encounters), paired with 99213 (609x).
Uninsured and high-deductible cash patients visiting Dr. Kalpit Shah in Oceanside (92054) face an estimated $239.00 initial evaluation fee at 2205 Vista Way (hybrid in-clinic and telehealth video consults; 19-minute average reception wait; bedside manner 4.75/5 from 23 verified reports).
Patients evaluating Dr. Kalpit Shah in ZIP 92054 note 29 years of post-doctoral tenure (null, 1997) alongside 9.4 annual CMS procedures per patient.
Compared against Oceanside, CA Hand Surgery peers
6,050 annual services across 646 beneficiaries
Standard deviations from CA Hand Surgery 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 | 1,054 | 66.67th | $123 – $169 |
| 99213 | Established Preventive & Chronic Care Visit | 609 | 65.67th | $94 – $129 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 304 | 71.67th | $45 – $62 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 234 | 63.67th | $145 – $198 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 141 | 64.67th | $172 – $235 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (111 HCPCS billing breadth) | 3,708 | 66.67th | $111 – $161 |
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Dr. Kalpit Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1326450040 (MD) | CMS NPPES Registry (92054) |
| Dr. Shah Oceanside CMS Volume Rank | 66.67th Pct (6,050 CMS svcs; Z +0.749σ) | CMS Medicare Part B (CA Hand Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Oceanside, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 19 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.80/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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