Dr. Vishaal Patel, MD
3700 Route 33, Suite 101, Neptune, NJ 07753 • +1-342-555-7686
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Neptune Percentiles
NPI #1790278372 • CBSA Regional • Otolaryngology
Dr. Vishaal Patel, MD (NPI #1790278372) practices Otolaryngology in Neptune, NJ (07753) with sub-specialty concentration in 40 Active CMS HCPCS Codes, recording 1,575 annual CMS services across 607 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (33.33th Neptune percentile) (-0.37σ vs NJ state mean, 43.32th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Patel (averaging 2.6 services per beneficiary), 99213 (Focused Ear, Nose, Sinus & Throat Examination) represents 34% of tracked volume (536 encounters), paired with 31231 (394x).
Direct cash-pay transparency modeling sets Dr. Patel's baseline new-consult rate near $209.00 in Neptune, NJ (cash-pay accepted, hybrid in-clinic and telehealth video consults, 16-minute average reception wait).
NPI registry verification (#1790278372) confirms Dr. Vishaal Patel's MD standing serving CBSA 07753 with a 4.53/5 patient scorecard.
Compared against Neptune, NJ Otolaryngology peers
1,575 annual services across 607 beneficiaries
Standard deviations from NJ Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 536 | 33.33th | $121 – $166 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 394 | 28.33th | $244 – $334 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 299 | 33.33th | $178 – $244 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 205 | 28.33th | $86 – $117 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 142 | 35.33th | $76 – $105 |
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Dr. Vishaal Patel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1790278372 (MD) | CMS NPPES Registry (07753) |
| Dr. Patel Neptune CMS Volume Rank | 33.33th Pct (1,575 CMS svcs; Z -0.366σ) | CMS Medicare Part B (NJ Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Neptune, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.68/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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