Dr. Ketul Patel, MD
3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129 • +1-426-555-1488
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Port Orange Percentiles
NPI #1336262146 • CBSA Regional • Gastroenterology
CMS Medicare Part B utilization records credit Dr. Ketul Patel (MD, NPI 1336262146) at 3635 S Clyde Morris Blvd, Ste 100 in Port Orange with 1,229 annual clinical services (605 beneficiaries), corresponding to a -0.36σ regional deviation and upper-quartile active clinical volume (71.43th Port Orange percentile) with sub-specialty concentration in 51 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1336262146 highlights 455 annual claims for 99214 (71.43th Port Orange percentile; $218–$298 self-pay corridor) plus 307 encounters under 45380 and 258 under 43239.
Self-pay new patient consultations with Dr. Patel (CPT 99204 GPCI-adjusted benchmark) estimate around $216.00 (community reported average: $216.00) with in-person clinic visits only, 22-minute average reception wait, and a 4.89/5 modern protocol openness score across 24 patient logs.
Credentialed as an MD specialist with 13 years post-graduation experience since completing medical school at an LCME/COCA institution (2013), Dr. Patel coordinates 51 Active CMS HCPCS Codes workups from 3635 S Clyde Morris Blvd, Ste 100 (+1-426-555-1488).
Compared against Port Orange, FL Gastroenterology peers
1,229 annual services across 605 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 | 455 | 71.43th | $218 – $298 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 307 | 72.43th | $524 – $718 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 258 | 71.43th | $435 – $596 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 123 | 74.43th | $584 – $800 |
| 99204 | New Patient Digestive & Hepatology Consultation | 86 | 71.43th | $307 – $420 |
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Dr. Ketul Patel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1336262146 (MD) | CMS NPPES Registry (32129) |
| Dr. Patel Port Orange CMS Volume Rank | 71.43th Pct (1,229 CMS svcs; Z -0.356σ) | CMS Medicare Part B (FL Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Port Orange, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 22 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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