Dr. Prithipal Sethi, MD
8715 Center Pkwy, Sacramento, CA 95823 • +1-537-555-9160
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Sacramento Percentiles
NPI #1174710578 • CBSA Regional • Urology
Dr. Prithipal Sethi, MD (NPI #1174710578) practices Urology in Sacramento, CA (95823) with sub-specialty concentration in 61 Active CMS HCPCS Codes, recording 148,750 annual CMS services across 923 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (92.86th percentile in Sacramento) (+3.00σ vs CA state mean, 98.74th statewide percentile).
Procedural volume for Dr. Sethi is led by HCPCS 99214 (Established Urologic, BPH & Androgen Evaluation — 2954 annual services, $50–$68 GPCI cash estimate), followed by CPT 51798 (Ultrasound Measurement of Post-Void Residual Urine Capacity, 2215/yr) and CPT 52000 (Diagnostic Cystourethroscopy Lower Urinary Tract Inspection, 1395/yr).
Direct cash-pay transparency modeling sets Dr. Sethi's baseline new-consult rate near $239.00 in Sacramento, CA (cash-pay accepted, in-person clinic visits only, 18-minute average reception wait).
Patients evaluating Dr. Prithipal Sethi in ZIP 95823 note 31 years of post-doctoral tenure (null, 1995) alongside 161.2 annual CMS procedures per patient.
Top 10% Urology volume leader in Sacramento, CA
148,750 annual services across 923 beneficiaries
Standard deviations from CA Urology 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 Urologic, BPH & Androgen Evaluation | 2,954 | 92.86th | $50 – $68 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 2,215 | 92.86th | $25 – $40 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 1,395 | 92.86th | $101 – $139 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 985 | 94.86th | $28 – $43 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 656 | 96.86th | $70 – $96 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (61 HCPCS billing breadth) | 140,545 | 92.86th | $45 – $65 |
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Dr. Prithipal Sethi, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sethi National Provider Identifier | NPI #1174710578 (MD) | CMS NPPES Registry (95823) |
| Dr. Sethi Sacramento CMS Volume Rank | 92.86th Pct (148,750 CMS svcs; Z +3.000σ) | CMS Medicare Part B (CA Urology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sacramento, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 18 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.56/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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