Dr. Pragnesh Patel, MD
15555 Creek Bend DR Ste 200, Sugar Land, TX 77478 • +1-585-555-7207
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Sugar Land Percentiles
NPI #1265787360 • CBSA Regional • Gastroenterology
Within the Sugar Land, TX (CBSA local) Gastroenterology cohort, Dr. Pragnesh Patel, MD with sub-specialty concentration in 31 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 62.54th TX percentile (-0.17σ Z-score) based on 1,964 billed procedures for 350 patients.
Fee-schedule auditing of NPI 1265787360 highlights 727 annual claims for 99214 (12th Sugar Land percentile; $131–$180 self-pay corridor) plus 491 encounters under 45380 and 412 under 43239.
At 15555 Creek Bend DR Ste 200 (77478), Dr. Pragnesh Patel, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.93/5 bedside rating).
Credentialed as an MD specialist with 27 years post-graduation experience since completing medical school at an LCME/COCA institution (1999), Dr. Patel coordinates 31 Active CMS HCPCS Codes workups from 15555 Creek Bend DR Ste 200 (+1-585-555-7207).
Compared against Sugar Land, TX Gastroenterology peers
1,964 annual services across 350 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 | 727 | 12th | $131 – $180 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 491 | 12th | $316 – $433 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 412 | 12th | $262 – $360 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 196 | 12th | $352 – $482 |
| 99204 | New Patient Digestive & Hepatology Consultation | 137 | 12th | $185 – $253 |
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Dr. Pragnesh Patel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1265787360 (MD) | CMS NPPES Registry (77478) |
| Dr. Patel Sugar Land CMS Volume Rank | 0.00th Pct (1,964 CMS svcs; Z -0.170σ) | CMS Medicare Part B (TX Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sugar Land, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.54/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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