Dr. Sunu Philip, MD
2730 Pierce St Ste 402, Sioux City, IA 51104 • +1-291-555-7240
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Sioux City Percentiles
NPI #1457610396 • CBSA Regional • General Surgery
Dr. Sunu Philip, MD (NPI #1457610396) practices General Surgery in Sioux City, IA (51104) with sub-specialty concentration in 90 Active CMS HCPCS Codes, recording 658 annual CMS services across 201 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Sioux City percentile) (-0.93σ vs IA state mean, 2.38th statewide percentile).
Fee-schedule auditing of NPI 1457610396 highlights 296 annual claims for 99214 (12th Sioux City percentile; $236–$324 self-pay corridor) plus 171 encounters under 99213 and 86 under 93000.
Cash-pay intake data for NPI 1457610396 (2730 Pierce St Ste 402, Sioux City) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 21-minute average reception wait and 4.43/5 biomarker openness.
Clinical background for Dr. Philip (MD, NPI #1457610396) includes accredited doctoral training (2013, 13 yrs in practice) and dedicated on-site consultations at 2730 Pierce St Ste 402.
Compared against Sioux City, IA General Surgery peers
658 annual services across 201 beneficiaries
Standard deviations from IA General Surgery 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 | 296 | 12th | $236 – $324 |
| 99213 | Established Preventive & Chronic Care Visit | 171 | 12th | $181 – $248 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 86 | 12th | $86 – $118 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 66 | 12th | $278 – $380 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 39 | 12th | $329 – $451 |
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Dr. Sunu Philip, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Philip National Provider Identifier | NPI #1457610396 (MD) | CMS NPPES Registry (51104) |
| Dr. Philip Sioux City CMS Volume Rank | 0.00th Pct (658 CMS svcs; Z -0.934σ) | CMS Medicare Part B (IA General Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sioux City, IA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.43/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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