Dr. Sandip Patel, MD
9 Hospital DR Ste B1, Toms River, NJ 08755 • +1-636-555-7652
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Toms River Percentiles
NPI #1316225659 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across NJ Internal Medicine providers positions Dr. Sandip Patel, MD in Toms River at +0.07σ (54.72th city percentile / 80.49th state percentile, 649 Medicare beneficiaries), with clinical focus spanning 29 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1316225659 highlights 1402 annual claims for 99214 (54.72th Toms River percentile; $139–$191 self-pay corridor) plus 810 encounters under 99213 and 405 under 93000.
Cash-pay intake data for NPI 1316225659 (9 Hospital DR Ste B1, Toms River) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 12-minute average reception wait and 4.75/5 biomarker openness.
Clinical background for Dr. Patel (MD, NPI #1316225659) includes accredited doctoral training (2001, 25 yrs in practice) and dedicated on-site consultations at 9 Hospital DR Ste B1.
Compared against Toms River, NJ Internal Medicine peers
3,115 annual services across 649 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 | 1,402 | 54.72th | $139 – $191 |
| 99213 | Established Preventive & Chronic Care Visit | 810 | 52.72th | $107 – $146 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 405 | 49.72th | $51 – $70 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 312 | 49.72th | $164 – $224 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 187 | 55.72th | $194 – $266 |
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Dr. Sandip Patel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1316225659 (MD) | CMS NPPES Registry (08755) |
| Dr. Patel Toms River CMS Volume Rank | 54.72th Pct (3,115 CMS svcs; Z +0.065σ) | CMS Medicare Part B (NJ Internal Medicine) |
| 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 • 12 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.75/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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