Dr. Sushilkumar Tibrewala, MD
3301 Patriot Ct, Herrin, IL 62948 • +1-923-555-4849
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Herrin Percentiles
NPI #1457366858 • CBSA Regional • Gastroenterology
Operating out of Herrin, IL (3301 Patriot Ct), Gastroenterology clinician Dr. Sushilkumar Tibrewala, MD (accredited MD/DO training, 2008) maintains a focused low-volume boutique caseload (33.33th Herrin percentile) (40.25th IL percentile; Z-score -0.24σ across 1,064 documented services) with sub-specialty concentration in 40 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 3301 Patriot Ct shows Dr. Sushilkumar Tibrewala's primary concentration in Established Gastroenterology, GERD & IBD Evaluation (code 99214: 394x/yr, 33.33th local percentile) alongside Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy (45380: 266x/yr, $505–$692).
Self-pay new patient consultations with Dr. Tibrewala (CPT 99204 GPCI-adjusted benchmark) estimate around $218.00 (community reported average: $218.00) with hybrid in-clinic and telehealth video consults, 18-minute average reception wait, and a 4.92/5 modern protocol openness score across 16 patient logs.
Credentialed as an MD specialist with 18 years post-graduation experience since completing medical school at an LCME/COCA institution (2008), Dr. Tibrewala coordinates 40 Active CMS HCPCS Codes workups from 3301 Patriot Ct (+1-923-555-4849).
Compared against Herrin, IL Gastroenterology peers
1,064 annual services across 524 beneficiaries
Standard deviations from IL Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 394 | 33.33th | $210 – $287 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 266 | 35.33th | $505 – $692 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 223 | 37.33th | $419 – $575 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 106 | 29.33th | $562 – $770 |
| 99204 | New Patient Digestive & Hepatology Consultation | 74 | 29.33th | $295 – $405 |
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Dr. Sushilkumar Tibrewala, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Tibrewala National Provider Identifier | NPI #1457366858 (MD) | CMS NPPES Registry (62948) |
| Dr. Tibrewala Herrin CMS Volume Rank | 33.33th Pct (1,064 CMS svcs; Z -0.242σ) | CMS Medicare Part B (IL Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Herrin, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 18 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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