Dr. Sushmitha Gandra, MD
240 Middletown Blvd, Suite 200, Langhorne, PA 19047 • +1-310-555-8786
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Langhorne Percentiles
NPI #1265643563 • CBSA Regional • Nephrology
Operating out of Langhorne, PA (240 Middletown Blvd, Suite 200), Nephrology clinician Dr. Sushmitha Gandra, MD (accredited MD/DO training, 1994) maintains a focused low-volume boutique caseload (11.11th Langhorne percentile) (68.42th PA percentile; Z-score +0.14σ across 1,802 documented services) with sub-specialty concentration in 13 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Sushmitha Gandra (19047) place 99214 at the top of the practice ledger (865 yearly units, 12th metro rank), rounded out by 90960 and 99215.
Cash-pay intake data for NPI 1265643563 (240 Middletown Blvd, Suite 200, Langhorne) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 13-minute average reception wait and 4.49/5 biomarker openness.
Credentialed as an MD specialist with 32 years post-graduation experience since completing medical school at an LCME/COCA institution (1994), Dr. Gandra coordinates 13 Active CMS HCPCS Codes workups from 240 Middletown Blvd, Suite 200 (+1-310-555-8786).
Compared against Langhorne, PA Nephrology peers
1,802 annual services across 425 beneficiaries
Standard deviations from PA Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 865 | 12th | $173 – $237 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 396 | 12th | $346 – $474 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 324 | 12th | $252 – $346 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 216 | 12th | $238 – $326 |
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Dr. Sushmitha Gandra, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gandra National Provider Identifier | NPI #1265643563 (MD) | CMS NPPES Registry (19047) |
| Dr. Gandra Langhorne CMS Volume Rank | 11.11th Pct (1,802 CMS svcs; Z +0.142σ) | CMS Medicare Part B (PA Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Langhorne, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.49/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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