Dr. Mitesh Shah, MD
100 E Lancaster Ave Bldg 280, Wynnewood, PA 19096 • +1-835-555-6464
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Wynnewood Percentiles
NPI #1902194848 • CBSA Regional • Orthopedic Surgery
Dr. Mitesh Shah, MD (NPI #1902194848) practices Orthopedic Surgery in Wynnewood, PA (19096) with sub-specialty concentration in 115 Active CMS HCPCS Codes, recording 952 annual CMS services across 295 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Wynnewood percentile) (-0.63σ vs PA state mean, 9.79th statewide percentile).
Fee-schedule auditing of NPI 1902194848 highlights 343 annual claims for 99213 (12th Wynnewood percentile; $425–$583 self-pay corridor) plus 257 encounters under 20610 and 181 under 73562.
Direct cash-pay transparency modeling sets Dr. Shah's baseline new-consult rate near $209.00 in Wynnewood, PA (cash-pay accepted, in-person clinic visits only, 13-minute average reception wait).
NPI registry verification (#1902194848) confirms Dr. Mitesh Shah's MD standing serving CBSA 19096 with a 4.70/5 patient scorecard.
Compared against Wynnewood, PA Orthopedic Surgery peers
952 annual services across 295 beneficiaries
Standard deviations from PA Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 343 | 12th | $425 – $583 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 257 | 12th | $453 – $621 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 181 | 12th | $254 – $348 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 105 | 12th | $610 – $836 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 67 | 12th | $3929 – $5385 |
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Dr. Mitesh Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1902194848 (MD) | CMS NPPES Registry (19096) |
| Dr. Shah Wynnewood CMS Volume Rank | 0.00th Pct (952 CMS svcs; Z -0.630σ) | CMS Medicare Part B (PA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Wynnewood, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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