Dr. Saumil Gandhi, MD
253 March St, Santa Paula, CA 93060 • +1-442-555-3197
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Santa Paula Percentiles
NPI #1427057843 • CBSA Regional • Nephrology
Dr. Saumil Gandhi, MD (NPI #1427057843) practices Nephrology in Santa Paula, CA (93060) with sub-specialty concentration in 22 Active CMS HCPCS Codes, recording 1,098 annual CMS services across 261 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Santa Paula) (-0.41σ vs CA state mean, 16.84th statewide percentile).
Fee-schedule auditing of NPI 1427057843 highlights 527 annual claims for 99214 (99th Santa Paula percentile; $385–$528 self-pay corridor) plus 242 encounters under 90960 and 198 under 99215.
Self-pay new patient consultations with Dr. Gandhi (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 22-minute average reception wait, and a 4.47/5 modern protocol openness score across 8 patient logs.
Patients evaluating Dr. Saumil Gandhi in ZIP 93060 note 14 years of post-doctoral tenure (null, 2012) alongside 4.2 annual CMS procedures per patient.
Top 10% Nephrology volume leader in Santa Paula, CA
1,098 annual services across 261 beneficiaries
Standard deviations from CA Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 527 | 99th | $385 – $528 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 242 | 98th | $770 – $1056 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 198 | 97th | $562 – $770 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 132 | 94th | $530 – $726 |
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Dr. Saumil Gandhi, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gandhi National Provider Identifier | NPI #1427057843 (MD) | CMS NPPES Registry (93060) |
| Dr. Gandhi Santa Paula CMS Volume Rank | 99.00th Pct (1,098 CMS svcs; Z -0.407σ) | CMS Medicare Part B (CA Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Santa Paula, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 22 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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