Dr. Siddharth Shah, MD
3400 Spruce Street, 1 Founders, Philadelphia, PA 19104 • +1-767-555-7066
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Philadelphia Percentiles
NPI #1407059710 • CBSA Regional • Nephrology
Statistical peer benchmarking across PA Nephrology providers positions Dr. Siddharth Shah, MD in Philadelphia at -0.81σ (33.33th city percentile / 12.63th state percentile, 272 Medicare beneficiaries), with clinical focus spanning 17 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1407059710 highlights 390 annual claims for 99214 (33.33th Philadelphia percentile; $220–$301 self-pay corridor) plus 179 encounters under 90960 and 146 under 99215.
Self-pay new patient consultations with Dr. Shah (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 21-minute average reception wait, and a 4.73/5 modern protocol openness score across 7 patient logs.
Credentialed as an MD specialist with 12 years post-graduation experience since completing medical school at an LCME/COCA institution (2014), Dr. Shah coordinates 17 Active CMS HCPCS Codes workups from 3400 Spruce Street, 1 Founders (+1-767-555-7066).
Compared against Philadelphia, PA Nephrology peers
813 annual services across 272 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 | 390 | 33.33th | $220 – $301 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 179 | 31.33th | $440 – $603 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 146 | 35.33th | $321 – $439 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 98 | 31.33th | $302 – $414 |
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Dr. Siddharth Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1407059710 (MD) | CMS NPPES Registry (19104) |
| Dr. Shah Philadelphia CMS Volume Rank | 33.33th Pct (813 CMS svcs; Z -0.810σ) | CMS Medicare Part B (PA Nephrology) |
| 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 • 21 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.73/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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