Dr. Sumit Agarwal, DO
537 Us Highway 22 E Fl 3, Whitehouse Station, NJ 08889 • +1-483-555-4775
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Whitehouse Station Percentiles
NPI #1306262035 • CBSA Regional • Hospitalist
CMS Medicare Part B utilization records credit Dr. Sumit Agarwal (DO, NPI 1306262035) at 537 Us Highway 22 E Fl 3 in Whitehouse Station with 1,719 annual clinical services (375 beneficiaries), corresponding to a +0.90σ regional deviation and top-decile high-throughput specialist (99th percentile in Whitehouse Station) with sub-specialty concentration in 31 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1306262035 highlights 751 annual claims for 99214 (99th Whitehouse Station percentile; $88–$121 self-pay corridor) plus 434 encounters under 99213 and 217 under 93000.
For out-of-network patients contacting +1-483-555-4775, Dr. Agarwal's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.60/5 composite reality score over 15 submissions).
NPI registry verification (#1306262035) confirms Dr. Sumit Agarwal's DO standing serving CBSA 08889 with a 4.60/5 patient scorecard.
Top 10% Hospitalist volume leader in Whitehouse Station, NJ
1,719 annual services across 375 beneficiaries
Standard deviations from NJ Hospitalist 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 | 751 | 99th | $88 – $121 |
| 99213 | Established Preventive & Chronic Care Visit | 434 | 99.5th | $67 – $92 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 217 | 96th | $32 – $47 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 167 | 94th | $103 – $142 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 100 | 97th | $122 – $168 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (31 HCPCS billing breadth) | 51 | 99th | $79 – $115 |
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Dr. Sumit Agarwal, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Agarwal National Provider Identifier | NPI #1306262035 (DO) | CMS NPPES Registry (08889) |
| Dr. Agarwal Whitehouse Station CMS Volume Rank | 99.00th Pct (1,719 CMS svcs; Z +0.901σ) | CMS Medicare Part B (NJ Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Whitehouse Station, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.43/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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