Dr. Pranjal Patel, MD
751 S Bascom Ave, Emergency Department, San Jose, CA 95128 • +1-870-555-5743
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & San Jose Percentiles
NPI #1255620787 • CBSA Regional • Emergency Medicine
Anchored in San Jose, CA 95128, Dr. Pranjal Patel, MD (NPI 1255620787) logged 934 annual procedures (mid-cohort balanced caseload (64.71th San Jose percentile), 56.21th CA percentile, -0.16σ) with sub-specialty concentration in 36 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1255620787 highlights 420 annual claims for 99214 (64.71th San Jose percentile; $178–$244 self-pay corridor) plus 243 encounters under 99213 and 121 under 93000.
At 751 S Bascom Ave, Emergency Department (95128), Dr. Pranjal Patel, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$239.00 per new consult (4.89/5 bedside rating).
Credentialed as an MD specialist with 28 years post-graduation experience since completing medical school at an LCME/COCA institution (1998), Dr. Patel coordinates 36 Active CMS HCPCS Codes workups from 751 S Bascom Ave, Emergency Department (+1-870-555-5743).
Compared against San Jose, CA Emergency Medicine peers
934 annual services across 469 beneficiaries
Standard deviations from CA Emergency 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 | 420 | 64.71th | $178 – $244 |
| 99213 | Established Preventive & Chronic Care Visit | 243 | 63.71th | $136 – $186 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 121 | 68.71th | $65 – $89 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 93 | 62.71th | $209 – $286 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 56 | 61.71th | $247 – $339 |
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Dr. Pranjal Patel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1255620787 (MD) | CMS NPPES Registry (95128) |
| Dr. Patel San Jose CMS Volume Rank | 64.71th Pct (934 CMS svcs; Z -0.163σ) | CMS Medicare Part B (CA Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (San Jose, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 19 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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