Dr. Jitendra Tolia, MD
3147 77th St, East Elmhurst, NY 11370 • +1-299-555-1635
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & East Elmhurst Percentiles
NPI #1407974199 • CBSA Regional • Pulmonary Disease
Dr. Jitendra Tolia, MD (NPI #1407974199) practices Pulmonary Disease in East Elmhurst, NY (11370) with sub-specialty concentration in 31 Active CMS HCPCS Codes, recording 3,636 annual CMS services across 293 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in East Elmhurst) (+0.10σ vs NY state mean, 83.26th statewide percentile).
Fee-schedule auditing of NPI 1407974199 highlights 1473 annual claims for 99214 (99th East Elmhurst percentile; $161–$221 self-pay corridor) plus 826 encounters under 94060 and 611 under 94729.
Direct cash-pay transparency modeling sets Dr. Tolia's baseline new-consult rate near $232.00 in East Elmhurst, NY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 11-minute average reception wait).
Spanning 12 years of clinical practice following 2014 graduation from medical training, Dr. Jitendra Tolia integrates 31 Active CMS HCPCS Codes diagnostics for East Elmhurst metro patients.
Top 10% Pulmonary Disease volume leader in East Elmhurst, NY
3,636 annual services across 293 beneficiaries
Standard deviations from NY Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 1,473 | 99th | $161 – $221 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 826 | 99.5th | $105 – $144 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 611 | 94th | $95 – $130 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 395 | 95th | $294 – $403 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 287 | 98th | $227 – $311 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (31 HCPCS billing breadth) | 44 | 99th | $145 – $210 |
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Dr. Jitendra Tolia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Tolia National Provider Identifier | NPI #1407974199 (MD) | CMS NPPES Registry (11370) |
| Dr. Tolia East Elmhurst CMS Volume Rank | 99.00th Pct (3,636 CMS svcs; Z +0.098σ) | CMS Medicare Part B (NY Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (East Elmhurst, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 11 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.46/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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