Dr. Pratikkumar Sheth, MD
736 Battlefield Blvd N, Chesapeake, VA 23320 • +1-536-555-3103
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Chesapeake Percentiles
NPI #1962711069 • CBSA Regional • Hospitalist
Within the Chesapeake, VA (CBSA local) Hospitalist cohort, Dr. Pratikkumar Sheth, MD with sub-specialty concentration in 8 Active CMS HCPCS Codes ranks at the 9.09th municipal percentile and 77.48th VA percentile (-0.04σ Z-score) based on 1,197 billed procedures for 621 patients.
Fee-schedule auditing of NPI 1962711069 highlights 539 annual claims for 99214 (12th Chesapeake percentile; $140–$192 self-pay corridor) plus 311 encounters under 99213 and 156 under 93000.
Self-pay new patient consultations with Dr. Sheth (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 22-minute average reception wait, and a 4.94/5 modern protocol openness score across 18 patient logs.
Clinical background for Dr. Sheth (MD, NPI #1962711069) includes accredited doctoral training (1998, 28 yrs in practice) and dedicated on-site consultations at 736 Battlefield Blvd N.
Compared against Chesapeake, VA Hospitalist peers
1,197 annual services across 621 beneficiaries
Standard deviations from VA Hospitalist mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 539 | 12th | $140 – $192 |
| 99213 | Established Preventive & Chronic Care Visit | 311 | 12th | $107 – $147 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 156 | 12th | $51 – $70 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 120 | 13.09th | $164 – $225 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 72 | 12.09th | $195 – $267 |
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Dr. Pratikkumar Sheth, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sheth National Provider Identifier | NPI #1962711069 (MD) | CMS NPPES Registry (23320) |
| Dr. Sheth Chesapeake CMS Volume Rank | 9.09th Pct (1,197 CMS svcs; Z -0.042σ) | CMS Medicare Part B (VA Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Chesapeake, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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