Dr. Vipul Shah, MD
974 Route 45, Suite 2000, Pomona, NY 10970 • +1-784-555-4234
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Pomona Percentiles
NPI #1417020181 • CBSA Regional • Gastroenterology
Statistical peer benchmarking across NY Gastroenterology providers positions Dr. Vipul Shah, MD in Pomona at -0.02σ (0th city percentile / 74.77th state percentile, 631 Medicare beneficiaries), with clinical focus spanning 57 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Shah (averaging 3.8 services per beneficiary), 99214 (Established Gastroenterology, GERD & IBD Evaluation) represents 37% of tracked volume (888 encounters), paired with 45380 (600x).
At 974 Route 45, Suite 2000 (10970), Dr. Vipul Shah, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$232.00 per new consult (4.86/5 bedside rating).
Clinical background for Dr. Shah (MD, NPI #1417020181) includes accredited doctoral training (2007, 19 yrs in practice) and dedicated on-site consultations at 974 Route 45, Suite 2000.
Compared against Pomona, NY Gastroenterology peers
2,399 annual services across 631 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 | 888 | 12th | $220 – $301 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 600 | 12th | $529 – $725 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 504 | 12th | $439 – $602 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 240 | 12th | $589 – $807 |
| 99204 | New Patient Digestive & Hepatology Consultation | 168 | 12th | $309 – $424 |
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Dr. Vipul Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1417020181 (MD) | CMS NPPES Registry (10970) |
| Dr. Shah Pomona CMS Volume Rank | 0.00th Pct (2,399 CMS svcs; Z -0.017σ) | CMS Medicare Part B (NY Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pomona, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 20 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.76/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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