Dr. Nishant Sethi, MD
743 Jefferson Ave, Suite 305, Scranton, PA 18510 • +1-318-555-9770
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Scranton Percentiles
NPI #1306070735 • CBSA Regional • Interventional Cardiology
Dr. Nishant Sethi, MD (NPI #1306070735) practices Interventional Cardiology in Scranton, PA (18510) with sub-specialty concentration in 93 Active CMS HCPCS Codes, recording 2,820 annual CMS services across 537 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (66.67th Scranton percentile) (+0.29σ vs PA state mean, 72.26th statewide percentile).
Fee-schedule auditing of NPI 1306070735 highlights 1269 annual claims for 99214 (66.67th Scranton percentile; $155–$213 self-pay corridor) plus 733 encounters under 99213 and 367 under 93000.
For out-of-network patients contacting +1-318-555-9770, Dr. Sethi's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.89/5 composite reality score over 16 submissions).
Clinical background for Dr. Sethi (MD, NPI #1306070735) includes accredited doctoral training (1993, 33 yrs in practice) and virtual + in-office availability across PA.
Compared against Scranton, PA Interventional Cardiology peers
2,820 annual services across 537 beneficiaries
Standard deviations from PA Interventional Cardiology 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 | 1,269 | 66.67th | $155 – $213 |
| 99213 | Established Preventive & Chronic Care Visit | 733 | 64.67th | $119 – $163 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 367 | 66.67th | $57 – $78 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 282 | 69.67th | $182 – $250 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 169 | 70.67th | $216 – $296 |
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Dr. Nishant Sethi, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sethi National Provider Identifier | NPI #1306070735 (MD) | CMS NPPES Registry (18510) |
| Dr. Sethi Scranton CMS Volume Rank | 66.67th Pct (2,820 CMS svcs; Z +0.290σ) | CMS Medicare Part B (PA Interventional Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Scranton, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.63/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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