Dr. Pooja Shah, MD
1964 Oak Tree Rd, Edison, NJ 08820 • +1-776-555-3200
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Edison Percentiles
NPI #1477953123 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across NJ Internal Medicine providers positions Dr. Pooja Shah, MD in Edison at -0.15σ (42.5th city percentile / 57.27th state percentile, 370 Medicare beneficiaries), with clinical focus spanning 9 Active CMS HCPCS Codes.
Dr. Shah's longitudinal care intensity (4.8 billed units per patient across 370 individuals) centers on 99214 (797 annual units) and 99213 ($163–$223 cash range).
Self-pay new patient consultations with Dr. Shah (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 13-minute average reception wait, and a 4.83/5 modern protocol openness score across 17 patient logs.
Clinical background for Dr. Shah (MD, NPI #1477953123) includes accredited doctoral training (1997, 29 yrs in practice) and virtual + in-office availability across NJ.
Compared against Edison, NJ Internal Medicine peers
1,771 annual services across 370 beneficiaries
Standard deviations from NJ 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 | 797 | 42.5th | $213 – $292 |
| 99213 | Established Preventive & Chronic Care Visit | 460 | 38.5th | $163 – $223 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 230 | 45.5th | $78 – $107 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 177 | 39.5th | $250 – $343 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 106 | 47.5th | $296 – $406 |
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Dr. Pooja Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1477953123 (MD) | CMS NPPES Registry (08820) |
| Dr. Shah Edison CMS Volume Rank | 42.50th Pct (1,771 CMS svcs; Z -0.152σ) | CMS Medicare Part B (NJ Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Edison, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.95/5 Listening • 4.83/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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