Dr. Swapnil Shah, MD
2627 E Washington Blvd, Pasadena, CA 91107 • +1-748-555-2149
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Pasadena Percentiles
NPI #1427283878 • CBSA Regional • Orthopedic Surgery
CMS Medicare Part B utilization records credit Dr. Swapnil Shah (MD, NPI 1427283878) at 2627 E Washington Blvd in Pasadena with 1,932 annual clinical services (360 beneficiaries), corresponding to a -0.29σ regional deviation and focused low-volume boutique caseload (5.88th Pasadena percentile) with sub-specialty concentration in 87 Active CMS HCPCS Codes.
Dr. Shah's longitudinal care intensity (5.4 billed units per patient across 360 individuals) centers on 99213 (462 annual units) and 20610 ($148–$203 cash range).
Self-pay new patient consultations with Dr. Shah (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with in-person clinic visits only, 20-minute average reception wait, and a 4.64/5 modern protocol openness score across 18 patient logs.
NPI registry verification (#1427283878) confirms Dr. Swapnil Shah's MD standing serving CBSA 91107 with a 4.87/5 patient scorecard.
Compared against Pasadena, CA Orthopedic Surgery peers
1,932 annual services across 360 beneficiaries
Standard deviations from CA Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 462 | 12th | $139 – $190 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 346 | 12th | $148 – $203 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 244 | 12th | $83 – $114 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 141 | 12th | $199 – $273 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 90 | 12th | $1282 – $1757 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (87 HCPCS billing breadth) | 649 | 5.88th | $156 – $226 |
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Dr. Swapnil Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1427283878 (MD) | CMS NPPES Registry (91107) |
| Dr. Shah Pasadena CMS Volume Rank | 5.88th Pct (1,932 CMS svcs; Z -0.290σ) | CMS Medicare Part B (CA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pasadena, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 20 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.64/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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