Dr. Antwan Atia, MD
3840 Woodley Rd Ste B, Toledo, OH 43606 • +1-635-555-4391
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Toledo Percentiles
NPI #1487820353 • CBSA Regional • Gastroenterology
Within the Toledo, OH (CBSA local) Gastroenterology cohort, Dr. Antwan Atia, MD with sub-specialty concentration in 54 Active CMS HCPCS Codes ranks at the 62.5th municipal percentile and 65.37th OH percentile (-0.27σ Z-score) based on 1,939 billed procedures for 591 patients.
Fee-schedule auditing of NPI 1487820353 highlights 717 annual claims for 99214 (62.5th Toledo percentile; $189–$259 self-pay corridor) plus 485 encounters under 45380 and 407 under 43239.
Self-pay new patient consultations with Dr. Atia (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 18-minute average reception wait, and a 4.57/5 modern protocol openness score across 22 patient logs.
Patients evaluating Dr. Antwan Atia in ZIP 43606 note 12 years of post-doctoral tenure (null, 2014) alongside 3.3 annual CMS procedures per patient.
Compared against Toledo, OH Gastroenterology peers
1,939 annual services across 591 beneficiaries
Standard deviations from OH 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 | 717 | 62.5th | $189 – $259 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 485 | 61.5th | $456 – $625 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 407 | 65.5th | $379 – $519 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 194 | 60.5th | $508 – $696 |
| 99204 | New Patient Digestive & Hepatology Consultation | 136 | 64.5th | $267 – $366 |
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Dr. Antwan Atia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Atia National Provider Identifier | NPI #1487820353 (MD) | CMS NPPES Registry (43606) |
| Dr. Atia Toledo CMS Volume Rank | 62.50th Pct (1,939 CMS svcs; Z -0.271σ) | CMS Medicare Part B (OH Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Toledo, OH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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