Dr. Sapan Patel, MD
150 E Willow Ave Ste 110, Wheaton, IL 60187 • +1-534-555-6889
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Wheaton Percentiles
NPI #1154530384 • CBSA Regional • Internal Medicine
Within the Wheaton, IL (CBSA local) Internal Medicine cohort, Dr. Sapan Patel, MD with sub-specialty concentration in 77 Active CMS HCPCS Codes ranks at the 8.33th municipal percentile and 43.6th IL percentile (-0.18σ Z-score) based on 1,232 billed procedures for 165 patients.
Fee-schedule auditing of NPI 1154530384 highlights 540 annual claims for 99214 (12th Wheaton percentile; $85–$117 self-pay corridor) plus 312 encounters under 99213 and 156 under 93000.
Self-pay new patient consultations with Dr. Patel (CPT 99204 GPCI-adjusted benchmark) estimate around $218.00 (community reported average: $218.00) with hybrid in-clinic and telehealth video consults, 20-minute average reception wait, and a 4.50/5 modern protocol openness score across 14 patient logs.
Credentialed as an MD specialist with 11 years post-graduation experience since completing medical school at an LCME/COCA institution (2015), Dr. Patel coordinates 77 Active CMS HCPCS Codes workups from 150 E Willow Ave Ste 110 (+1-534-555-6889).
Compared against Wheaton, IL Internal Medicine peers
1,232 annual services across 165 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 | 540 | 12th | $85 – $117 |
| 99213 | Established Preventive & Chronic Care Visit | 312 | 12th | $65 – $89 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 156 | 12th | $31 – $46 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 120 | 12.33th | $100 – $137 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 72 | 13.33th | $119 – $162 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (77 HCPCS billing breadth) | 31 | 8.33th | $77 – $112 |
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Dr. Sapan Patel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1154530384 (MD) | CMS NPPES Registry (60187) |
| Dr. Patel Wheaton CMS Volume Rank | 8.33th Pct (1,232 CMS svcs; Z -0.180σ) | CMS Medicare Part B (IL Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Wheaton, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 20 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.56/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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