Dr. Prayag Patel, MD
525 E Grant St, Macomb, IL 61455 • +1-374-555-9024
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Macomb Percentiles
NPI #1295175487 • CBSA Regional • Family Practice
Anchored in Macomb, IL 61455, Dr. Prayag Patel, MD (NPI 1295175487) logged 695 annual procedures (top-decile high-throughput specialist (99th percentile in Macomb), 7.3th IL percentile, -0.13σ) with sub-specialty concentration in 9 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Prayag Patel (61455) place 99214 at the top of the practice ledger (292 yearly units, 99th metro rank), rounded out by 99213 and G0439.
Uninsured and high-deductible cash patients visiting Dr. Prayag Patel in Macomb (61455) face an estimated $218.00 initial evaluation fee at 525 E Grant St (hybrid in-clinic and telehealth video consults; 15-minute average reception wait; bedside manner 4.96/5 from 19 verified reports).
From 525 E Grant St in Macomb (+1-374-555-9024), Dr. Patel, MD (24-year clinical track record) delivers 9 Active CMS HCPCS Codes care.
Top 10% Family Practice volume leader in Macomb, IL
695 annual services across 208 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 | 292 | 99th | $191 – $262 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 215 | 99.5th | $146 – $200 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 83 | 95th | $219 – $300 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 63 | 99.5th | $42 – $57 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 42 | 99.5th | $262 – $360 |
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Dr. Prayag Patel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1295175487 (MD) | CMS NPPES Registry (61455) |
| Dr. Patel Macomb CMS Volume Rank | 99.00th Pct (695 CMS svcs; Z -0.132σ) | CMS Medicare Part B (IL Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Macomb, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 15 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.73/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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