Dr. Kalpesh Patel, MD
12624 S Route 59, Plainfield, IL 60585 • +1-412-555-3673
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Plainfield Percentiles
NPI #1154386506 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across IL Internal Medicine providers positions Dr. Kalpesh Patel, MD in Plainfield at -0.08σ (44.44th city percentile / 71.44th state percentile, 423 Medicare beneficiaries), with clinical focus spanning 51 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1154386506 highlights 1060 annual claims for 99214 (44.44th Plainfield percentile; $166–$227 self-pay corridor) plus 613 encounters under 99213 and 306 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Kalpesh Patel in Plainfield (60585) face an estimated $218.00 initial evaluation fee at 12624 S Route 59 (hybrid in-clinic and telehealth video consults; 20-minute average reception wait; bedside manner 4.63/5 from 22 verified reports).
Credentialed as an MD specialist with 27 years post-graduation experience since completing medical school at an LCME/COCA institution (1999), Dr. Patel coordinates 51 Active CMS HCPCS Codes workups from 12624 S Route 59 (+1-412-555-3673).
Compared against Plainfield, IL Internal Medicine peers
2,356 annual services across 423 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 | 1,060 | 44.44th | $166 – $227 |
| 99213 | Established Preventive & Chronic Care Visit | 613 | 46.44th | $127 – $174 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 306 | 41.44th | $61 – $83 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 236 | 43.44th | $195 – $267 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 141 | 46.44th | $231 – $317 |
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Dr. Kalpesh Patel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1154386506 (MD) | CMS NPPES Registry (60585) |
| Dr. Patel Plainfield CMS Volume Rank | 44.44th Pct (2,356 CMS svcs; Z -0.083σ) | CMS Medicare Part B (IL Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Plainfield, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 20 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.63/5 Listening • 4.48/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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