Dr. Sunil Patel, MD
401 Roxbury Rd, Rockford, IL 61107 • +1-294-555-6964
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Rockford Percentiles
NPI #1699809806 • CBSA Regional • Gastroenterology
Within the Rockford, IL (CBSA local) Gastroenterology cohort, Dr. Sunil Patel, MD with sub-specialty concentration in 48 Active CMS HCPCS Codes ranks at the 76.92th municipal percentile and 93.19th IL percentile (+0.78σ Z-score) based on 8,052 billed procedures for 376 patients.
Among 6 tracked CMS fee-schedule codes for Dr. Patel (averaging 21.4 services per beneficiary), 99214 (Established Gastroenterology, GERD & IBD Evaluation) represents 4% of tracked volume (345 encounters), paired with 45380 (233x).
Direct cash-pay transparency modeling sets Dr. Patel's baseline new-consult rate near $218.00 in Rockford, IL (cash-pay accepted, in-person clinic visits only, 15-minute average reception wait).
Credentialed as an MD specialist with 28 years post-graduation experience since completing medical school at an LCME/COCA institution (1998), Dr. Patel coordinates 48 Active CMS HCPCS Codes workups from 401 Roxbury Rd (+1-294-555-6964).
Compared against Rockford, IL Gastroenterology peers
8,052 annual services across 376 beneficiaries
Standard deviations from IL Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 345 | 76.92th | $45 – $62 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 233 | 76.92th | $109 – $150 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 196 | 80.92th | $91 – $124 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 93 | 80.92th | $122 – $167 |
| 99204 | New Patient Digestive & Hepatology Consultation | 65 | 71.92th | $64 – $88 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (48 HCPCS billing breadth) | 7,120 | 76.92th | $45 – $65 |
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Dr. Sunil Patel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1699809806 (MD) | CMS NPPES Registry (61107) |
| Dr. Patel Rockford CMS Volume Rank | 76.92th Pct (8,052 CMS svcs; Z +0.777σ) | CMS Medicare Part B (IL Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Rockford, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 15 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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