Dr. Nirav Shah, MD
1656 Champlin Ave, Utica, NY 13502 • +1-516-555-6040
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Utica Percentiles
NPI #1922495696 • CBSA Regional • Hospitalist
CMS Medicare Part B utilization records credit Dr. Nirav Shah (MD, NPI 1922495696) at 1656 Champlin Ave in Utica with 888 annual clinical services (262 beneficiaries), corresponding to a -0.08σ regional deviation and focused low-volume boutique caseload (33.33th Utica percentile) with sub-specialty concentration in 11 Active CMS HCPCS Codes.
Procedural volume for Dr. Shah is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 400 annual services, $173–$237 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 231/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 115/yr).
Uninsured and high-deductible cash patients visiting Dr. Nirav Shah in Utica (13502) face an estimated $232.00 initial evaluation fee at 1656 Champlin Ave (hybrid in-clinic and telehealth video consults; 22-minute average reception wait; bedside manner 4.91/5 from 8 verified reports).
From 1656 Champlin Ave in Utica (+1-516-555-6040), Dr. Shah, MD (29-year clinical track record) delivers 11 Active CMS HCPCS Codes care.
Compared against Utica, NY Hospitalist peers
888 annual services across 262 beneficiaries
Standard deviations from NY Hospitalist 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 | 400 | 33.33th | $173 – $237 |
| 99213 | Established Preventive & Chronic Care Visit | 231 | 30.33th | $132 – $181 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 115 | 38.33th | $63 – $87 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 89 | 38.33th | $203 – $278 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 53 | 31.33th | $241 – $330 |
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Dr. Nirav Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1922495696 (MD) | CMS NPPES Registry (13502) |
| Dr. Shah Utica CMS Volume Rank | 33.33th Pct (888 CMS svcs; Z -0.083σ) | CMS Medicare Part B (NY Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Utica, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 22 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.58/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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