Dr. Sonal Shah, MD
405 W Jackson St, Carbondale, IL 62901 • +1-575-555-3406
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Carbondale Percentiles
NPI #1598170458 • CBSA Regional • Hospitalist
CMS Medicare Part B utilization records credit Dr. Sonal Shah (MD, NPI 1598170458) at 405 W Jackson St in Carbondale with 859 annual clinical services (315 beneficiaries), corresponding to a -0.21σ regional deviation and focused low-volume boutique caseload (16.67th Carbondale percentile) with sub-specialty concentration in 10 Active CMS HCPCS Codes.
Procedural volume for Dr. Shah is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 387 annual services, $189–$259 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 223/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 112/yr).
Self-pay new patient consultations with Dr. Shah (CPT 99204 GPCI-adjusted benchmark) estimate around $218.00 (community reported average: $218.00) with hybrid in-clinic and telehealth video consults, 21-minute average reception wait, and a 4.43/5 modern protocol openness score across 23 patient logs.
Clinical background for Dr. Shah (MD, NPI #1598170458) includes accredited doctoral training (2006, 20 yrs in practice) and virtual + in-office availability across IL.
Compared against Carbondale, IL Hospitalist peers
859 annual services across 315 beneficiaries
Standard deviations from IL Hospitalist 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 | 387 | 16.67th | $189 – $259 |
| 99213 | Established Preventive & Chronic Care Visit | 223 | 12th | $144 – $198 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 112 | 18.67th | $69 – $94 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 86 | 14.67th | $222 – $304 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 52 | 16.67th | $263 – $360 |
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Dr. Sonal Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1598170458 (MD) | CMS NPPES Registry (62901) |
| Dr. Shah Carbondale CMS Volume Rank | 16.67th Pct (859 CMS svcs; Z -0.213σ) | CMS Medicare Part B (IL Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Carbondale, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 21 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.43/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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