Dr. Nilesh Raval, MD
700 White Plains Rd Ste 309, Scarsdale, NY 10583 • +1-296-555-2828
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Scarsdale Percentiles
NPI #1790276780 • CBSA Regional • Ophthalmology
Operating out of Scarsdale, NY (700 White Plains Rd Ste 309), Ophthalmology clinician Dr. Nilesh Raval, MD (accredited MD/DO training, 2014) maintains a focused low-volume boutique caseload (22.22th Scarsdale percentile) (52.19th NY percentile; Z-score -0.20σ across 2,794 documented services) with sub-specialty concentration in 30 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1790276780 highlights 420 annual claims for 92014 (22.22th Scarsdale percentile; $244–$335 self-pay corridor) plus 295 encounters under 92134 and 193 under 92083.
Uninsured and high-deductible cash patients visiting Dr. Nilesh Raval in Scarsdale (10583) face an estimated $232.00 initial evaluation fee at 700 White Plains Rd Ste 309 (hybrid in-clinic and telehealth video consults; 13-minute average reception wait; bedside manner 4.71/5 from 13 verified reports).
Spanning 12 years of clinical practice following 2014 graduation from medical training, Dr. Nilesh Raval integrates 30 Active CMS HCPCS Codes diagnostics for Scarsdale metro patients.
Compared against Scarsdale, NY Ophthalmology peers
2,794 annual services across 283 beneficiaries
Standard deviations from NY Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 420 | 22.22th | $244 – $335 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 295 | 22.22th | $135 – $185 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 193 | 23.22th | $162 – $221 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 136 | 18.22th | $294 – $403 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 91 | 22.22th | $1077 – $1476 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (30 HCPCS billing breadth) | 1,659 | 22.22th | $215 – $312 |
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Dr. Nilesh Raval, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Raval National Provider Identifier | NPI #1790276780 (MD) | CMS NPPES Registry (10583) |
| Dr. Raval Scarsdale CMS Volume Rank | 22.22th Pct (2,794 CMS svcs; Z -0.202σ) | CMS Medicare Part B (NY Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Scarsdale, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 13 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.83/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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