Dr. Sanjay Pethkar, MD
13415 S Route 59, Plainfield, IL 60585 • +1-412-555-3673
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Plainfield Percentiles
NPI #1134181829 • CBSA Regional • Internal Medicine
Within the Plainfield, IL (CBSA local) Internal Medicine cohort, Dr. Sanjay Pethkar, MD with sub-specialty concentration in 43 Active CMS HCPCS Codes ranks at the 55.56th municipal percentile and 73.24th IL percentile (-0.07σ Z-score) based on 2,553 billed procedures for 140 patients.
Fee-schedule auditing of NPI 1134181829 highlights 1095 annual claims for 99214 (55.56th Plainfield percentile; $111–$152 self-pay corridor) plus 633 encounters under 99213 and 316 under 93000.
For out-of-network patients contacting +1-412-555-3673, Dr. Pethkar's practice posts a $218.00 GPCI self-pay consult estimate ($218.00 patient-logged median, 4.59/5 composite reality score over 6 submissions).
NPI registry verification (#1134181829) confirms Dr. Sanjay Pethkar's MD standing serving CBSA 60585 with a 4.59/5 patient scorecard.
Compared against Plainfield, IL Internal Medicine peers
2,553 annual services across 140 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 | 1,095 | 55.56th | $111 – $152 |
| 99213 | Established Preventive & Chronic Care Visit | 633 | 59.56th | $85 – $116 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 316 | 58.56th | $41 – $56 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 243 | 53.56th | $130 – $179 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 146 | 56.56th | $154 – $212 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (43 HCPCS billing breadth) | 120 | 55.56th | $100 – $145 |
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Dr. Sanjay Pethkar, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pethkar National Provider Identifier | NPI #1134181829 (MD) | CMS NPPES Registry (60585) |
| Dr. Pethkar Plainfield CMS Volume Rank | 55.56th Pct (2,553 CMS svcs; Z -0.066σ) | 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 | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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