Dr. Ahmad Abu-Heija, MD
988 Oak Ridge Turnpike, Suite 200, Oak Ridge, TN 37830 • +1-388-555-5815
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Oak Ridge Percentiles
NPI #1134574072 • CBSA Regional • Gastroenterology
Operating out of Oak Ridge, TN (988 Oak Ridge Turnpike, Suite 200), Gastroenterology clinician Dr. Ahmad Abu-Heija, MD (accredited MD/DO training, 2004) maintains a focused low-volume boutique caseload (33.33th Oak Ridge percentile) (10.32th TN percentile; Z-score -0.39σ across 718 documented services) with sub-specialty concentration in 45 Active CMS HCPCS Codes.
Dr. Abu-Heija's longitudinal care intensity (2.3 billed units per patient across 313 individuals) centers on 99214 (266 annual units) and 45380 ($451–$618 cash range).
Direct cash-pay transparency modeling sets Dr. Abu-Heija's baseline new-consult rate near $201.00 in Oak Ridge, TN (cash-pay accepted, in-person clinic visits only, 18-minute average reception wait).
From 988 Oak Ridge Turnpike, Suite 200 in Oak Ridge (+1-388-555-5815), Dr. Abu-Heija, MD (22-year clinical track record) delivers 45 Active CMS HCPCS Codes care.
Compared against Oak Ridge, TN Gastroenterology peers
718 annual services across 313 beneficiaries
Standard deviations from TN Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 266 | 33.33th | $187 – $257 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 180 | 34.33th | $451 – $618 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 151 | 33.33th | $375 – $513 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 72 | 30.33th | $502 – $688 |
| 99204 | New Patient Digestive & Hepatology Consultation | 50 | 35.33th | $264 – $362 |
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Dr. Ahmad Abu-Heija, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Abu-Heija National Provider Identifier | NPI #1134574072 (MD) | CMS NPPES Registry (37830) |
| Dr. Abu-Heija Oak Ridge CMS Volume Rank | 33.33th Pct (718 CMS svcs; Z -0.393σ) | CMS Medicare Part B (TN Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $201.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Oak Ridge, TN) |
| Waiting-Room Wait Time & Cash Friendliness | $201.00 avg paid • 18 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.82/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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