Dr. Shivani Sharma, MD
12860 Troxler Ave, Highland, IL 62249 • +1-672-555-3629
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Highland Percentiles
NPI #1508342189 • CBSA Regional • Family Practice
Anchored in Highland, IL 62249, Dr. Shivani Sharma, MD (NPI 1508342189) logged 692 annual procedures (focused low-volume boutique caseload (0th Highland percentile), 7.09th IL percentile, -0.13σ) with sub-specialty concentration in 10 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1508342189 highlights 291 annual claims for 99214 (12th Highland percentile; $45–$62 self-pay corridor) plus 215 encounters under 99213 and 83 under G0439.
At 12860 Troxler Ave (62249), Dr. Shivani Sharma, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$218.00 per new consult (4.83/5 bedside rating).
Clinical background for Dr. Sharma (MD, NPI #1508342189) includes accredited doctoral training (2006, 20 yrs in practice) and virtual + in-office availability across IL.
Compared against Highland, IL Family Practice peers
692 annual services across 289 beneficiaries
Standard deviations from IL Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 291 | 12th | $45 – $62 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 215 | 12th | $35 – $50 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 83 | 12th | $52 – $71 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 62 | 12th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 42 | 12th | $62 – $85 |
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Dr. Shivani Sharma, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sharma National Provider Identifier | NPI #1508342189 (MD) | CMS NPPES Registry (62249) |
| Dr. Sharma Highland CMS Volume Rank | 0.00th Pct (692 CMS svcs; Z -0.133σ) | CMS Medicare Part B (IL Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Highland, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 12 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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