Dr. Sunil Dwivedi, MD
5223 Hamilton Wolfe Rd, San Antonio, TX 78229 • +1-409-555-1990
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & San Antonio Percentiles
NPI #1003854076 • CBSA Regional • Gastroenterology
Within the San Antonio, TX (CBSA local) Gastroenterology cohort, Dr. Sunil Dwivedi, MD with sub-specialty concentration in 35 Active CMS HCPCS Codes ranks at the 77.27th municipal percentile and 80.93th TX percentile (+0.10σ Z-score) based on 4,259 billed procedures for 399 patients.
Fee-schedule auditing of NPI 1003854076 highlights 1576 annual claims for 99214 (77.27th San Antonio percentile; $58–$79 self-pay corridor) plus 1065 encounters under 45380 and 894 under 43239.
Direct cash-pay transparency modeling sets Dr. Dwivedi's baseline new-consult rate near $209.00 in San Antonio, TX (cash-pay accepted, hybrid in-clinic and telehealth video consults, 16-minute average reception wait).
From 5223 Hamilton Wolfe Rd in San Antonio (+1-409-555-1990), Dr. Dwivedi, MD (32-year clinical track record) delivers 35 Active CMS HCPCS Codes care.
Compared against San Antonio, TX Gastroenterology peers
4,259 annual services across 399 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 | 1,576 | 77.27th | $58 – $79 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 1,065 | 78.27th | $139 – $190 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 894 | 72.27th | $115 – $158 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 426 | 75.27th | $154 – $211 |
| 99204 | New Patient Digestive & Hepatology Consultation | 298 | 82.27th | $81 – $111 |
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Dr. Sunil Dwivedi, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Dwivedi National Provider Identifier | NPI #1003854076 (MD) | CMS NPPES Registry (78229) |
| Dr. Dwivedi San Antonio CMS Volume Rank | 77.27th Pct (4,259 CMS svcs; Z +0.103σ) | CMS Medicare Part B (TX Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (San Antonio, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.55/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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