Dr. Pavan Gupta, MD
Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269 • +1-959-555-7741
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & O Fallon Percentiles
NPI #1861519563 • CBSA Regional • Cardiology
Anchored in O Fallon, IL 62269, Dr. Pavan Gupta, MD (NPI 1861519563) logged 4,194 annual procedures (mid-cohort balanced caseload (55.56th O Fallon percentile), 67.73th IL percentile, +0.08σ) with sub-specialty concentration in 45 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Pavan Gupta (62269) place 99214 at the top of the practice ledger (1594 yearly units, 55.56th metro rank), rounded out by 93000 and 93306.
Self-pay new patient consultations with Dr. Gupta (CPT 99204 GPCI-adjusted benchmark) estimate around $218.00 (community reported average: $218.00) with hybrid in-clinic and telehealth video consults, 15-minute average reception wait, and a 4.50/5 modern protocol openness score across 19 patient logs.
Credentialed as an MD specialist with 33 years post-graduation experience since completing medical school at an LCME/COCA institution (1993), Dr. Gupta coordinates 45 Active CMS HCPCS Codes workups from Three Saint Elizabeth Blvd Ste 2800 (+1-959-555-7741).
Compared against O Fallon, IL Cardiology peers
4,194 annual services across 1,967 beneficiaries
Standard deviations from IL Cardiology 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 Cardiology Consultation & Hemodynamic Review | 1,594 | 55.56th | $100 – $136 |
| 93000 | 12-Lead Resting Electrocardiogram (ECG) w/ Interpretation | 1,174 | 57.56th | $39 – $54 |
| 93306 | Complete Transthoracic Echocardiography w/ Doppler & Color Flow | 755 | 59.56th | $186 – $255 |
| 93224 | 24-Hour Ambulatory ECG Rhythm Monitoring & Analysis | 419 | 59.56th | $117 – $160 |
| 99204 | Comprehensive New Patient Cardiovascular Risk Evaluation | 252 | 53.56th | $143 – $196 |
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Dr. Pavan Gupta, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gupta National Provider Identifier | NPI #1861519563 (MD) | CMS NPPES Registry (62269) |
| Dr. Gupta O Fallon CMS Volume Rank | 55.56th Pct (4,194 CMS svcs; Z +0.082σ) | CMS Medicare Part B (IL Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (O Fallon, 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 | 4.75/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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