Dr. Sushma Patel, MD
155 Memorial Drive, Pinehurst, NC 28374 • +1-576-555-9719
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Pinehurst Percentiles
NPI #1023017191 • CBSA Regional • Radiation Oncology
Operating out of Pinehurst, NC (155 Memorial Drive), Radiation Oncology clinician Dr. Sushma Patel, MD (accredited MD/DO training, 1996) maintains a focused low-volume boutique caseload (33.33th Pinehurst percentile) (68.18th NC percentile; Z-score -0.01σ across 2,276 documented services) with sub-specialty concentration in 36 Active CMS HCPCS Codes.
Dr. Patel's longitudinal care intensity (12.6 billed units per patient across 181 individuals) centers on 99214 (1024 annual units) and 99213 ($92–$126 cash range).
Uninsured and high-deductible cash patients visiting Dr. Sushma Patel in Pinehurst (28374) face an estimated $209.00 initial evaluation fee at 155 Memorial Drive (hybrid in-clinic and telehealth video consults; 20-minute average reception wait; bedside manner 4.68/5 from 16 verified reports).
Patients evaluating Dr. Sushma Patel in ZIP 28374 note 30 years of post-doctoral tenure (null, 1996) alongside 12.6 annual CMS procedures per patient.
Compared against Pinehurst, NC Radiation Oncology peers
2,276 annual services across 181 beneficiaries
Standard deviations from NC 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 | 1,024 | 33.33th | $120 – $165 |
| 99213 | Established Preventive & Chronic Care Visit | 592 | 31.33th | $92 – $126 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 296 | 30.33th | $44 – $60 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 228 | 35.33th | $141 – $193 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 137 | 30.33th | $167 – $229 |
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Dr. Sushma Patel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1023017191 (MD) | CMS NPPES Registry (28374) |
| Dr. Patel Pinehurst CMS Volume Rank | 33.33th Pct (2,276 CMS svcs; Z -0.009σ) | CMS Medicare Part B (NC Radiation Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pinehurst, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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