Dr. Sushma Bhat, MD
420 S 5th Ave, West Reading, PA 19611 • +1-432-555-1582
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & West Reading Percentiles
NPI #1316242068 • CBSA Regional • Hospitalist
Dr. Sushma Bhat, MD (NPI #1316242068) practices Hospitalist in West Reading, PA (19611) with sub-specialty concentration in 9 Active CMS HCPCS Codes, recording 790 annual CMS services across 296 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (64.71th West Reading percentile) (-0.10σ vs PA state mean, 39.59th statewide percentile).
Fee-schedule auditing of NPI 1316242068 highlights 356 annual claims for 99214 (64.71th West Reading percentile; $140–$192 self-pay corridor) plus 205 encounters under 99213 and 103 under 93000.
Cash-pay intake data for NPI 1316242068 (420 S 5th Ave, West Reading) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 19-minute average reception wait and 4.42/5 biomarker openness.
NPI registry verification (#1316242068) confirms Dr. Sushma Bhat's MD standing serving CBSA 19611 with a 4.78/5 patient scorecard.
Compared against West Reading, PA Hospitalist peers
790 annual services across 296 beneficiaries
Standard deviations from PA Hospitalist 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 | 356 | 64.71th | $140 – $192 |
| 99213 | Established Preventive & Chronic Care Visit | 205 | 63.71th | $107 – $147 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 103 | 64.71th | $51 – $70 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 79 | 60.71th | $165 – $226 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 47 | 63.71th | $195 – $268 |
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Dr. Sushma Bhat, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Bhat National Provider Identifier | NPI #1316242068 (MD) | CMS NPPES Registry (19611) |
| Dr. Bhat West Reading CMS Volume Rank | 64.71th Pct (790 CMS svcs; Z -0.099σ) | CMS Medicare Part B (PA Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (West Reading, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.42/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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