Dr. Simant Shah, MD
3400 Spruce St, One Maloney, Philadelphia, PA 19104 • +1-767-555-3004
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Philadelphia Percentiles
NPI #1013151018 • CBSA Regional • Emergency Medicine
Operating out of Philadelphia, PA (3400 Spruce St, One Maloney), Emergency Medicine clinician Dr. Simant Shah, MD (accredited MD/DO training, 2007) maintains a focused low-volume boutique caseload (7.41th Philadelphia percentile) (9.74th PA percentile; Z-score -0.47σ across 672 documented services) with sub-specialty concentration in 21 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Simant Shah (19104) place 99214 at the top of the practice ledger (302 yearly units, 12th metro rank), rounded out by 99213 and 93000.
For out-of-network patients contacting +1-767-555-3004, Dr. Shah's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.61/5 composite reality score over 24 submissions).
Clinical background for Dr. Shah (MD, NPI #1013151018) includes accredited doctoral training (2007, 19 yrs in practice) and dedicated on-site consultations at 3400 Spruce St, One Maloney.
Compared against Philadelphia, PA Emergency Medicine peers
672 annual services across 606 beneficiaries
Standard deviations from PA Emergency Medicine 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 | 302 | 12th | $250 – $342 |
| 99213 | Established Preventive & Chronic Care Visit | 175 | 12th | $191 – $262 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 87 | 12th | $91 – $125 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 67 | 12th | $293 – $401 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 40 | 12th | $347 – $476 |
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Dr. Simant Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1013151018 (MD) | CMS NPPES Registry (19104) |
| Dr. Shah Philadelphia CMS Volume Rank | 7.41th Pct (672 CMS svcs; Z -0.475σ) | CMS Medicare Part B (PA Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Philadelphia, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.58/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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