Dr. Sumi Patel, MD
14500 99th Ave N, Maple Grove, MN 55369 • +1-546-555-4734
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Maple Grove Percentiles
NPI #1669868048 • CBSA Regional • Rheumatology
Anchored in Maple Grove, MN 55369, Dr. Sumi Patel, MD (NPI 1669868048) logged 108,305 annual procedures (top-decile high-throughput specialist (99th percentile in Maple Grove), 91.3th MN percentile, +1.79σ) with sub-specialty concentration in 38 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1669868048 highlights 886 annual claims for 99214 (99th Maple Grove percentile; $45–$62 self-pay corridor) plus 404 encounters under 20610 and 289 under 96413.
Cash-pay intake data for NPI 1669868048 (14500 99th Ave N, Maple Grove) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 21-minute average reception wait and 4.44/5 biomarker openness.
Patients evaluating Dr. Sumi Patel in ZIP 55369 note 15 years of post-doctoral tenure (null, 2011) alongside 372.2 annual CMS procedures per patient.
Top 10% Rheumatology volume leader in Maple Grove, MN
108,305 annual services across 291 beneficiaries
Standard deviations from MN Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 886 | 99th | $45 – $62 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 404 | 99.5th | $36 – $51 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 289 | 96th | $62 – $85 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 193 | 99th | $47 – $65 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 154 | 99th | $62 – $85 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (38 HCPCS billing breadth) | 106,379 | 99th | $45 – $65 |
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Dr. Sumi Patel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1669868048 (MD) | CMS NPPES Registry (55369) |
| Dr. Patel Maple Grove CMS Volume Rank | 99.00th Pct (108,305 CMS svcs; Z +1.790σ) | CMS Medicare Part B (MN Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Maple Grove, MN) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.65/5 Listening • 4.44/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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