Dr. Pali Shah, MD
601 N Caroline St, Baltimore, MD 21287 • +1-272-555-9976
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Baltimore Percentiles
NPI #1073659561 • CBSA Regional • Pulmonary Disease
Operating out of Baltimore, MD (601 N Caroline St), Pulmonary Disease clinician Dr. Pali Shah, MD (accredited MD/DO training, 1999) maintains a focused low-volume boutique caseload (21.74th Baltimore percentile) (15.63th MD percentile; Z-score -0.62σ across 913 documented services) with sub-specialty concentration in 16 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Shah (averaging 4.2 services per beneficiary), 99214 (Established Pulmonary, Asthma & COPD Management) represents 41% of tracked volume (374 encounters), paired with 94060 (210x).
For out-of-network patients contacting +1-272-555-9976, Dr. Shah's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.57/5 composite reality score over 4 submissions).
Clinical background for Dr. Shah (MD, NPI #1073659561) includes accredited doctoral training (1999, 27 yrs in practice) and virtual + in-office availability across MD.
Compared against Baltimore, MD Pulmonary Disease peers
913 annual services across 217 beneficiaries
Standard deviations from MD Pulmonary Disease 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 Pulmonary, Asthma & COPD Management | 374 | 21.74th | $200 – $274 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 210 | 26.74th | $131 – $179 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 155 | 19.74th | $118 – $162 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 100 | 23.74th | $365 – $501 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 73 | 17.74th | $282 – $386 |
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Dr. Pali Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1073659561 (MD) | CMS NPPES Registry (21287) |
| Dr. Shah Baltimore CMS Volume Rank | 21.74th Pct (913 CMS svcs; Z -0.619σ) | CMS Medicare Part B (MD Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Baltimore, MD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.68/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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