Dr. Nisha Rughwani, MD
1440 Madison Ave, New York, NY 10029 • +1-920-555-3512
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & New York Percentiles
NPI #1487782025 • CBSA 35620 • Geriatric Medicine
CMS Medicare Part B utilization records credit Dr. Nisha Rughwani (MD, NPI 1487782025) at 1440 Madison Ave in New York with 1,274 annual clinical services (254 beneficiaries), corresponding to a -0.27σ regional deviation and upper-quartile active clinical volume (72th New York percentile) with sub-specialty concentration in 26 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Rughwani (averaging 5.0 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (573 encounters), paired with 99213 (331x).
Uninsured and high-deductible cash patients visiting Dr. Nisha Rughwani in New York (10029) face an estimated $239.00 initial evaluation fee at 1440 Madison Ave (in-person clinic visits only; 20-minute average reception wait; bedside manner 4.80/5 from 18 verified reports).
Clinical background for Dr. Rughwani (MD, NPI #1487782025) includes accredited doctoral training (1998, 28 yrs in practice) and dedicated on-site consultations at 1440 Madison Ave.
Compared against New York, NY Geriatric Medicine peers
1,274 annual services across 254 beneficiaries
Standard deviations from NY Geriatric 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 | 573 | 72th | $170 – $233 |
| 99213 | Established Preventive & Chronic Care Visit | 331 | 69th | $130 – $178 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 166 | 76th | $62 – $85 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 127 | 71th | $200 – $273 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 76 | 72th | $236 – $324 |
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Dr. Nisha Rughwani, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rughwani National Provider Identifier | NPI #1487782025 (MD) | CMS NPPES Registry (10029) |
| Dr. Rughwani New York CMS Volume Rank | 72.00th Pct (1,274 CMS svcs; Z -0.270σ) | CMS Medicare Part B (NY Geriatric Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (New York, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 20 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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