Dr. Nimisha Patel, MD
1200 Northside Forsyth DR, Cumming, GA 30041 • +1-822-555-7775
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Cumming Percentiles
NPI #1811126576 • CBSA Regional • Family Practice
CMS Medicare Part B utilization records credit Dr. Nimisha Patel (MD, NPI 1811126576) at 1200 Northside Forsyth DR in Cumming with 1,073 annual clinical services (338 beneficiaries), corresponding to a -0.18σ regional deviation and mid-cohort balanced caseload (52.63th Cumming percentile) with sub-specialty concentration in 28 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Patel (averaging 3.2 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 42% of tracked volume (451 encounters), paired with 99213 (333x).
Self-pay new patient consultations with Dr. Patel (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 16-minute average reception wait, and a 4.53/5 modern protocol openness score across 8 patient logs.
From 1200 Northside Forsyth DR in Cumming (+1-822-555-7775), Dr. Patel, MD (17-year clinical track record) delivers 28 Active CMS HCPCS Codes care.
Compared against Cumming, GA Family Practice peers
1,073 annual services across 338 beneficiaries
Standard deviations from GA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 451 | 52.63th | $135 – $185 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 333 | 57.63th | $103 – $141 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 129 | 50.63th | $155 – $212 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 97 | 56.63th | $29 – $44 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 64 | 47.63th | $185 – $254 |
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Dr. Nimisha Patel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1811126576 (MD) | CMS NPPES Registry (30041) |
| Dr. Patel Cumming CMS Volume Rank | 52.63th Pct (1,073 CMS svcs; Z -0.178σ) | CMS Medicare Part B (GA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Cumming, GA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.85/5 Listening • 4.53/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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