Dr. Suman Setia, MD
3900 W 95th St, #3, Evergreen Park, IL 60805 • +1-759-555-5807
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Evergreen Park Percentiles
NPI #1871560169 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across IL Internal Medicine providers positions Dr. Suman Setia, MD in Evergreen Park at -0.18σ (33.33th city percentile / 42.87th state percentile, 192 Medicare beneficiaries), with clinical focus spanning 22 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 3900 W 95th St, #3 shows Dr. Suman Setia's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 548x/yr, 33.33th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 317x/yr, $114–$156).
Self-pay new patient consultations with Dr. Setia (CPT 99204 GPCI-adjusted benchmark) estimate around $218.00 (community reported average: $218.00) with hybrid in-clinic and telehealth video consults, 20-minute average reception wait, and a 4.43/5 modern protocol openness score across 20 patient logs.
NPI registry verification (#1871560169) confirms Dr. Suman Setia's MD standing serving CBSA 60805 with a 4.85/5 patient scorecard.
Compared against Evergreen Park, IL Internal Medicine peers
1,218 annual services across 192 beneficiaries
Standard deviations from IL Internal Medicine 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 | 548 | 33.33th | $149 – $204 |
| 99213 | Established Preventive & Chronic Care Visit | 317 | 36.33th | $114 – $156 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 158 | 32.33th | $54 – $75 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 122 | 32.33th | $175 – $240 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 73 | 33.33th | $208 – $284 |
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Dr. Suman Setia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Setia National Provider Identifier | NPI #1871560169 (MD) | CMS NPPES Registry (60805) |
| Dr. Setia Evergreen Park CMS Volume Rank | 33.33th Pct (1,218 CMS svcs; Z -0.181σ) | CMS Medicare Part B (IL Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Evergreen Park, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 20 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.43/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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