Dr. Sushama Mody, MD
714 10th St, Secaucus, NJ 07094 • +1-397-555-2879
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Secaucus Percentiles
NPI #1760682173 • CBSA Regional • Rheumatology
Statistical peer benchmarking across NJ Rheumatology providers positions Dr. Sushama Mody, MD in Secaucus at -0.59σ (99th city percentile / 32.62th state percentile, 171 Medicare beneficiaries), with clinical focus spanning 39 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1760682173 highlights 352 annual claims for 99214 (99th Secaucus percentile; $45–$62 self-pay corridor) plus 161 encounters under 20610 and 115 under 96413.
Direct cash-pay transparency modeling sets Dr. Mody's baseline new-consult rate near $209.00 in Secaucus, NJ (cash-pay accepted, in-person clinic visits only, 14-minute average reception wait).
Credentialed as an MD specialist with 13 years post-graduation experience since completing medical school at an LCME/COCA institution (2013), Dr. Mody coordinates 39 Active CMS HCPCS Codes workups from 714 10th St (+1-397-555-2879).
Top 10% Rheumatology volume leader in Secaucus, NJ
13,412 annual services across 171 beneficiaries
Standard deviations from NJ Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 352 | 99th | $45 – $62 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 161 | 99.5th | $36 – $51 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 115 | 99.5th | $62 – $85 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 77 | 96th | $47 – $65 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 61 | 99th | $62 – $85 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (39 HCPCS billing breadth) | 12,646 | 99th | $45 – $65 |
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Dr. Sushama Mody, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mody National Provider Identifier | NPI #1760682173 (MD) | CMS NPPES Registry (07094) |
| Dr. Mody Secaucus CMS Volume Rank | 99.00th Pct (13,412 CMS svcs; Z -0.590σ) | CMS Medicare Part B (NJ Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Secaucus, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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