Dr. Sushil Adhikari, MD
2105 Forest Ave, San Jose, CA 95128 • +1-870-555-2629
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & San Jose Percentiles
NPI #1295907301 • CBSA Regional • Internal Medicine
Dr. Sushil Adhikari, MD (NPI #1295907301) practices Internal Medicine in San Jose, CA (95128) with sub-specialty concentration in 10 Active CMS HCPCS Codes, recording 738 annual CMS services across 281 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (14.49th San Jose percentile) (-0.11σ vs CA state mean, 10.19th statewide percentile).
Procedural volume for Dr. Adhikari is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 332 annual services, $193–$264 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 192/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 96/yr).
Self-pay new patient consultations with Dr. Adhikari (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 18-minute average reception wait, and a 4.46/5 modern protocol openness score across 26 patient logs.
From 2105 Forest Ave in San Jose (+1-870-555-2629), Dr. Adhikari, MD (29-year clinical track record) delivers 10 Active CMS HCPCS Codes care.
Compared against San Jose, CA Internal Medicine peers
738 annual services across 281 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 | 332 | 14.49th | $193 – $264 |
| 99213 | Established Preventive & Chronic Care Visit | 192 | 17.49th | $148 – $202 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 96 | 16.49th | $70 – $97 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 74 | 15.49th | $226 – $310 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 44 | 12th | $268 – $368 |
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Dr. Sushil Adhikari, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Adhikari National Provider Identifier | NPI #1295907301 (MD) | CMS NPPES Registry (95128) |
| Dr. Adhikari San Jose CMS Volume Rank | 14.49th Pct (738 CMS svcs; Z -0.107σ) | CMS Medicare Part B (CA Internal 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 • 18 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.46/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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