Dr. Anuja Pradhan, MD
31 Grand Cove Way, Edgewater, NJ 07020 • +1-853-555-8810
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Edgewater Percentiles
NPI #1528260064 • CBSA Regional • Critical Care (Intensivists)
Statistical peer benchmarking across NJ Critical Care (Intensivists) providers positions Dr. Anuja Pradhan, MD in Edgewater at -0.47σ (99th city percentile / 20.51th state percentile, 292 Medicare beneficiaries), with clinical focus spanning 18 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1528260064 highlights 420 annual claims for 99214 (99th Edgewater percentile; $256–$351 self-pay corridor) plus 243 encounters under 99213 and 121 under 93000.
Cash-pay intake data for NPI 1528260064 (31 Grand Cove Way, Edgewater) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 9-minute average reception wait and 4.66/5 biomarker openness.
From 31 Grand Cove Way in Edgewater (+1-853-555-8810), Dr. Pradhan, MD (16-year clinical track record) delivers 18 Active CMS HCPCS Codes care.
Top 10% Critical Care (Intensivists) volume leader in Edgewater, NJ
934 annual services across 292 beneficiaries
Standard deviations from NJ Critical Care (Intensivists) 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 | 420 | 99th | $256 – $351 |
| 99213 | Established Preventive & Chronic Care Visit | 243 | 95th | $196 – $268 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 121 | 96th | $93 – $128 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 93 | 97th | $300 – $411 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 56 | 99.5th | $356 – $488 |
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Dr. Anuja Pradhan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pradhan National Provider Identifier | NPI #1528260064 (MD) | CMS NPPES Registry (07020) |
| Dr. Pradhan Edgewater CMS Volume Rank | 99.00th Pct (934 CMS svcs; Z -0.474σ) | CMS Medicare Part B (NJ Critical Care (Intensivists)) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Edgewater, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.55/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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