Dr. Pratish Shah, MD
1 Medical Village DR, Edgewood, KY 41017 • +1-778-555-4105
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Edgewood Percentiles
NPI #1467615708 • CBSA Regional • Radiation Oncology
CMS Medicare Part B utilization records credit Dr. Pratish Shah (MD, NPI 1467615708) at 1 Medical Village DR in Edgewood with 1,890 annual clinical services (281 beneficiaries), corresponding to a -0.23σ regional deviation and mid-cohort balanced caseload (50th Edgewood percentile) with sub-specialty concentration in 30 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Shah (averaging 6.7 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (851 encounters), paired with 99213 (491x).
For out-of-network patients contacting +1-778-555-4105, Dr. Shah's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.76/5 composite reality score over 15 submissions).
NPI registry verification (#1467615708) confirms Dr. Pratish Shah's MD standing serving CBSA 41017 with a 4.76/5 patient scorecard.
Compared against Edgewood, KY Radiation Oncology peers
1,890 annual services across 281 beneficiaries
Standard deviations from KY Radiation Oncology 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 | 851 | 50th | $135 – $185 |
| 99213 | Established Preventive & Chronic Care Visit | 491 | 55th | $103 – $141 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 246 | 50th | $49 – $67 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 189 | 49th | $158 – $217 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 113 | 52th | $187 – $257 |
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Dr. Pratish Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1467615708 (MD) | CMS NPPES Registry (41017) |
| Dr. Shah Edgewood CMS Volume Rank | 50.00th Pct (1,890 CMS svcs; Z -0.229σ) | CMS Medicare Part B (KY Radiation Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Edgewood, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.53/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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