Dr. Nishant Patel, DO
55 Lake Ave N, Worcester, MA 01655 • +1-746-555-7311
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Worcester Percentiles
NPI #1992167126 • CBSA Regional • Internal Medicine
Dr. Nishant Patel, DO (NPI #1992167126) practices Internal Medicine in Worcester, MA (01655) with sub-specialty concentration in 10 Active CMS HCPCS Codes, recording 860 annual CMS services across 367 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (43.02th Worcester percentile) (-0.28σ vs MA state mean, 21.89th statewide percentile).
Fee-schedule auditing of NPI 1992167126 highlights 387 annual claims for 99214 (43.02th Worcester percentile; $188–$257 self-pay corridor) plus 224 encounters under 99213 and 112 under 93000.
Self-pay new patient consultations with Dr. Patel (CPT 99204 GPCI-adjusted benchmark) estimate around $224.00 (community reported average: $224.00) with hybrid in-clinic and telehealth video consults, 16-minute average reception wait, and a 4.45/5 modern protocol openness score across 26 patient logs.
Clinical background for Dr. Patel (DO, NPI #1992167126) includes accredited doctoral training (2012, 14 yrs in practice) and virtual + in-office availability across MA.
Compared against Worcester, MA Internal Medicine peers
860 annual services across 367 beneficiaries
Standard deviations from MA 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 | 387 | 43.02th | $188 – $257 |
| 99213 | Established Preventive & Chronic Care Visit | 224 | 42.02th | $144 – $197 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 112 | 41.02th | $69 – $94 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 86 | 47.02th | $221 – $302 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 52 | 47.02th | $261 – $358 |
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Dr. Nishant Patel, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1992167126 (DO) | CMS NPPES Registry (01655) |
| Dr. Patel Worcester CMS Volume Rank | 43.02th Pct (860 CMS svcs; Z -0.281σ) | CMS Medicare Part B (MA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Worcester, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 16 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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