Dr. Vishal Gupta, MD
2884 Wellness Ave Ste 100, Orange City, FL 32763 • +1-833-555-7274
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Orange City Percentiles
NPI #1255449179 • CBSA Regional • Gastroenterology
Anchored in Orange City, FL 32763, Dr. Vishal Gupta, MD (NPI 1255449179) logged 9,798 annual procedures (upper-quartile active clinical volume (80th Orange City percentile), 93.44th FL percentile, +1.09σ) with sub-specialty concentration in 73 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1255449179 highlights 1786 annual claims for 99214 (80th Orange City percentile; $82–$112 self-pay corridor) plus 1207 encounters under 45380 and 1014 under 43239.
Direct cash-pay transparency modeling sets Dr. Gupta's baseline new-consult rate near $216.00 in Orange City, FL (cash-pay accepted, in-person clinic visits only, 16-minute average reception wait).
NPI registry verification (#1255449179) confirms Dr. Vishal Gupta's MD standing serving CBSA 32763 with a 4.91/5 patient scorecard.
Compared against Orange City, FL Gastroenterology peers
9,798 annual services across 687 beneficiaries
Standard deviations from FL Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 1,786 | 80th | $82 – $112 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 1,207 | 85th | $198 – $271 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 1,014 | 78th | $164 – $225 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 483 | 81th | $220 – $301 |
| 99204 | New Patient Digestive & Hepatology Consultation | 338 | 82th | $116 – $158 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (73 HCPCS billing breadth) | 4,970 | 80th | $77 – $112 |
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Dr. Vishal Gupta, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gupta National Provider Identifier | NPI #1255449179 (MD) | CMS NPPES Registry (32763) |
| Dr. Gupta Orange City CMS Volume Rank | 80.00th Pct (9,798 CMS svcs; Z +1.088σ) | CMS Medicare Part B (FL Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Orange City, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 16 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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