Dr. Sandeep Krishnan, MD
11 Nevins St Suite 406, Semc - Digestive Disease Center, Brighton, MA 02135 • +1-513-555-4824
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Brighton Percentiles
NPI #1245497312 • CBSA Regional • Gastroenterology
Statistical peer benchmarking across MA Gastroenterology providers positions Dr. Sandeep Krishnan, MD in Brighton at -0.42σ (99th city percentile / 9.28th state percentile, 337 Medicare beneficiaries), with clinical focus spanning 47 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1245497312 highlights 252 annual claims for 99214 (99th Brighton percentile; $223–$306 self-pay corridor) plus 170 encounters under 45380 and 143 under 43239.
Direct cash-pay transparency modeling sets Dr. Krishnan's baseline new-consult rate near $224.00 in Brighton, MA (cash-pay accepted, in-person clinic visits only, 20-minute average reception wait).
NPI registry verification (#1245497312) confirms Dr. Sandeep Krishnan's MD standing serving CBSA 02135 with a 4.73/5 patient scorecard.
Top 10% Gastroenterology volume leader in Brighton, MA
681 annual services across 337 beneficiaries
Standard deviations from MA 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 | 252 | 99th | $223 – $306 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 170 | 94th | $537 – $736 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 143 | 96th | $446 – $611 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 68 | 99th | $598 – $820 |
| 99204 | New Patient Digestive & Hepatology Consultation | 48 | 95th | $314 – $431 |
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Dr. Sandeep Krishnan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Krishnan National Provider Identifier | NPI #1245497312 (MD) | CMS NPPES Registry (02135) |
| Dr. Krishnan Brighton CMS Volume Rank | 99.00th Pct (681 CMS svcs; Z -0.425σ) | CMS Medicare Part B (MA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Brighton, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 20 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.55/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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