Dr. Nirav Thosani, MD
6400 Fannin St, Suite 1400, Houston, TX 77030 • +1-670-555-1358
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Houston Percentiles
NPI #1134472483 • CBSA 26420 • Gastroenterology
Within the Houston, TX (CBSA 26420) Gastroenterology cohort, Dr. Nirav Thosani, MD with sub-specialty concentration in 55 Active CMS HCPCS Codes ranks at the 8.24th municipal percentile and 7.39th TX percentile (-0.32σ Z-score) based on 691 billed procedures for 273 patients.
Granular CPT/HCPCS billing distribution at 6400 Fannin St, Suite 1400 shows Dr. Nirav Thosani's primary concentration in Established Gastroenterology, GERD & IBD Evaluation (code 99214: 256x/yr, 12th local percentile) alongside Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy (45380: 173x/yr, $552–$756).
Uninsured and high-deductible cash patients visiting Dr. Nirav Thosani in Houston (77030) face an estimated $212.00 initial evaluation fee at 6400 Fannin St, Suite 1400 (hybrid in-clinic and telehealth video consults; 22-minute average reception wait; bedside manner 4.61/5 from 10 verified reports).
From 6400 Fannin St, Suite 1400 in Houston (+1-670-555-1358), Dr. Thosani, MD (18-year clinical track record) delivers 55 Active CMS HCPCS Codes care.
Compared against Houston, TX Gastroenterology peers
691 annual services across 273 beneficiaries
Standard deviations from TX 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 | 256 | 12th | $229 – $314 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 173 | 12th | $552 – $756 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 145 | 13.24th | $458 – $628 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 69 | 12th | $614 – $842 |
| 99204 | New Patient Digestive & Hepatology Consultation | 48 | 12th | $323 – $442 |
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Dr. Nirav Thosani, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Thosani National Provider Identifier | NPI #1134472483 (MD) | CMS NPPES Registry (77030) |
| Dr. Thosani Houston CMS Volume Rank | 8.24th Pct (691 CMS svcs; Z -0.321σ) | CMS Medicare Part B (TX Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $212.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Houston, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $212.00 avg paid • 22 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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