Dr. Pradip Sethi, MD
40 North Airlite St, Suite 2, Elgin, IL 60123 • +1-677-555-7619
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Elgin Percentiles
NPI #1013009653 • CBSA Regional • Neurology
Dr. Pradip Sethi, MD (NPI #1013009653) practices Neurology in Elgin, IL (60123) with sub-specialty concentration in 13 Active CMS HCPCS Codes, recording 697 annual CMS services across 345 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Elgin percentile) (-0.41σ vs IL state mean, 6.51th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Sethi (averaging 2.0 services per beneficiary), 99214 (Established Neurologic, Migraine & Movement Evaluation) represents 42% of tracked volume (293 encounters), paired with 95910 (139x).
At 40 North Airlite St, Suite 2 (60123), Dr. Pradip Sethi, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$218.00 per new consult (4.92/5 bedside rating).
Spanning 10 years of clinical practice following 2016 graduation from medical training, Dr. Pradip Sethi integrates 13 Active CMS HCPCS Codes diagnostics for Elgin metro patients.
Compared against Elgin, IL Neurology peers
697 annual services across 345 beneficiaries
Standard deviations from IL Neurology 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 Neurologic, Migraine & Movement Evaluation | 293 | 12th | $258 – $354 |
| 95910 | 7–8 Nerve Conduction Electrodiagnostic Neuropathy Study | 139 | 12th | $426 – $584 |
| 95819 | Awake & Drowsy Electroencephalogram (EEG) Recording | 112 | 12th | $383 – $524 |
| 64615 | Chemodenervation of Cranial/Cervical Muscles for Chronic Migraine | 84 | 12th | $404 – $554 |
| 99204 | Comprehensive New Patient Neurologic Examination | 70 | 12th | $361 – $494 |
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Dr. Pradip Sethi, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sethi National Provider Identifier | NPI #1013009653 (MD) | CMS NPPES Registry (60123) |
| Dr. Sethi Elgin CMS Volume Rank | 0.00th Pct (697 CMS svcs; Z -0.414σ) | CMS Medicare Part B (IL Neurology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Elgin, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 12 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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