Dr. Priya Sahay, MD
216 Commons Way Bldg B, Toms River, NJ 08755 • +1-636-555-4748
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Toms River Percentiles
NPI #1255781548 • CBSA Regional • Endocrinology
Dr. Priya Sahay, MD (NPI #1255781548) practices Endocrinology in Toms River, NJ (08755) with sub-specialty concentration in 10 Active CMS HCPCS Codes, recording 877 annual CMS services across 308 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Toms River percentile) (-0.53σ vs NJ state mean, 12.86th statewide percentile).
Fee-schedule auditing of NPI 1255781548 highlights 386 annual claims for 99214 (12th Toms River percentile; $195–$268 self-pay corridor) plus 193 encounters under 95251 and 140 under 76536.
Self-pay new patient consultations with Dr. Sahay (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 9-minute average reception wait, and a 4.43/5 modern protocol openness score across 17 patient logs.
Clinical background for Dr. Sahay (MD, NPI #1255781548) includes accredited doctoral training (2012, 14 yrs in practice) and virtual + in-office availability across NJ.
Compared against Toms River, NJ Endocrinology peers
877 annual services across 308 beneficiaries
Standard deviations from NJ Endocrinology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Complex Endocrine, Thyroid & Metabolic Biomarker Management | 386 | 12th | $195 – $268 |
| 95251 | Ambulatory Continuous Glucose Monitoring (CGM) Data Analysis | 193 | 12th | $122 – $167 |
| 76536 | High-Resolution Thyroid & Parathyroid Neck Ultrasound | 140 | 12th | $236 – $324 |
| 99204 | Comprehensive New Patient Endocrine & Hormone Workup | 105 | 12th | $269 – $368 |
| 99215 | High-Complexity Multi-Hormone & Insulin Pump Titration | 53 | 12th | $301 – $413 |
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Dr. Priya Sahay, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sahay National Provider Identifier | NPI #1255781548 (MD) | CMS NPPES Registry (08755) |
| Dr. Sahay Toms River CMS Volume Rank | 0.00th Pct (877 CMS svcs; Z -0.525σ) | CMS Medicare Part B (NJ Endocrinology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Toms River, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.56/5 Listening • 4.43/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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