Dr. Nilesh Mehta, MD
915 Hillside Ave, New Hyde Park, NY 11040 • +1-306-555-3476
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & New Hyde Park Percentiles
NPI #1649436163 • CBSA Regional • Gastroenterology
Statistical peer benchmarking across NY Gastroenterology providers positions Dr. Nilesh Mehta, MD in New Hyde Park at -0.39σ (29.41th city percentile / 31.03th state percentile, 292 Medicare beneficiaries), with clinical focus spanning 35 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1649436163 highlights 340 annual claims for 99214 (29.41th New Hyde Park percentile; $206–$282 self-pay corridor) plus 230 encounters under 45380 and 193 under 43239.
Self-pay new patient consultations with Dr. Mehta (CPT 99204 GPCI-adjusted benchmark) estimate around $232.00 (community reported average: $232.00) with in-person clinic visits only, 19-minute average reception wait, and a 4.76/5 modern protocol openness score across 3 patient logs.
NPI registry verification (#1649436163) confirms Dr. Nilesh Mehta's MD standing serving CBSA 11040 with a 4.84/5 patient scorecard.
Compared against New Hyde Park, NY Gastroenterology peers
918 annual services across 292 beneficiaries
Standard deviations from NY Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 340 | 29.41th | $206 – $282 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 230 | 28.41th | $496 – $680 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 193 | 28.41th | $412 – $564 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 92 | 27.41th | $552 – $757 |
| 99204 | New Patient Digestive & Hepatology Consultation | 64 | 27.41th | $290 – $398 |
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Dr. Nilesh Mehta, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mehta National Provider Identifier | NPI #1649436163 (MD) | CMS NPPES Registry (11040) |
| Dr. Mehta New Hyde Park CMS Volume Rank | 29.41th Pct (918 CMS svcs; Z -0.390σ) | CMS Medicare Part B (NY Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (New Hyde Park, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 19 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.76/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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