Dr. Theodore Sgambati, MD
2 Sears DR, Floor 2, Paramus, NJ 07652 • +1-314-555-2598
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Paramus Percentiles
NPI #1053398602 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across NJ Internal Medicine providers positions Dr. Theodore Sgambati, MD in Paramus at -0.18σ (31.03th city percentile / 53.8th state percentile, 524 Medicare beneficiaries), with clinical focus spanning 27 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1053398602 highlights 711 annual claims for 99214 (31.03th Paramus percentile; $136–$186 self-pay corridor) plus 411 encounters under 99213 and 205 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Theodore Sgambati in Paramus (07652) face an estimated $209.00 initial evaluation fee at 2 Sears DR, Floor 2 (hybrid in-clinic and telehealth video consults; 16-minute average reception wait; bedside manner 4.96/5 from 20 verified reports).
Clinical background for Dr. Sgambati (MD, NPI #1053398602) includes accredited doctoral training (2012, 14 yrs in practice) and virtual + in-office availability across NJ.
Compared against Paramus, NJ Internal Medicine peers
1,619 annual services across 524 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 | 711 | 31.03th | $136 – $186 |
| 99213 | Established Preventive & Chronic Care Visit | 411 | 29.03th | $104 – $142 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 205 | 30.03th | $50 – $68 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 158 | 32.03th | $159 – $218 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 95 | 27.03th | $189 – $259 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (27 HCPCS billing breadth) | 40 | 31.03th | $122 – $177 |
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Dr. Theodore Sgambati, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sgambati National Provider Identifier | NPI #1053398602 (MD) | CMS NPPES Registry (07652) |
| Dr. Sgambati Paramus CMS Volume Rank | 31.03th Pct (1,619 CMS svcs; Z -0.177σ) | CMS Medicare Part B (NJ Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Paramus, 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 • 4.67/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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