Dr. Sejal Kalawadia, MD
13755 Cicero Ave, Crestwood, IL 60418 • +1-608-555-8528
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Crestwood Percentiles
NPI #1194722108 • CBSA Regional • Nephrology
Statistical peer benchmarking across IL Nephrology providers positions Dr. Sejal Kalawadia, MD in Crestwood at -0.57σ (99th city percentile / 21.16th state percentile, 227 Medicare beneficiaries), with clinical focus spanning 16 Active CMS HCPCS Codes.
Among 4 tracked CMS fee-schedule codes for Dr. Kalawadia (averaging 5.1 services per beneficiary), 99214 (Chronic Kidney Disease eGFR, uACR & Electrolyte Management) represents 48% of tracked volume (557 encounters), paired with 90960 (255x).
Direct cash-pay transparency modeling sets Dr. Kalawadia's baseline new-consult rate near $218.00 in Crestwood, IL (cash-pay accepted, hybrid in-clinic and telehealth video consults, 17-minute average reception wait).
Spanning 20 years of clinical practice following 2006 graduation from medical training, Dr. Sejal Kalawadia integrates 16 Active CMS HCPCS Codes diagnostics for Crestwood metro patients.
Top 10% Nephrology volume leader in Crestwood, IL
1,160 annual services across 227 beneficiaries
Standard deviations from IL Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 557 | 99th | $262 – $359 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 255 | 94th | $525 – $719 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 209 | 96th | $383 – $524 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 139 | 96th | $361 – $494 |
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Dr. Sejal Kalawadia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kalawadia National Provider Identifier | NPI #1194722108 (MD) | CMS NPPES Registry (60418) |
| Dr. Kalawadia Crestwood CMS Volume Rank | 99.00th Pct (1,160 CMS svcs; Z -0.572σ) | CMS Medicare Part B (IL Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Crestwood, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 17 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.53/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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