Dr. Krupal Shah, MD
3300 Gallows Rd, Falls Church, VA 22042 • +1-430-555-8739
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Falls Church Percentiles
NPI #1669601522 • CBSA Regional • Hospitalist
Within the Falls Church, VA (CBSA local) Hospitalist cohort, Dr. Krupal Shah, MD with sub-specialty concentration in 11 Active CMS HCPCS Codes ranks at the 3.33th municipal percentile and 1.99th VA percentile (-0.13σ Z-score) based on 642 billed procedures for 269 patients.
Fee-schedule auditing of NPI 1669601522 highlights 289 annual claims for 99214 (12th Falls Church percentile; $158–$216 self-pay corridor) plus 167 encounters under 99213 and 83 under 93000.
Cash-pay intake data for NPI 1669601522 (3300 Gallows Rd, Falls Church) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 12-minute average reception wait and 4.88/5 biomarker openness.
Clinical background for Dr. Shah (MD, NPI #1669601522) includes accredited doctoral training (2009, 17 yrs in practice) and virtual + in-office availability across VA.
Compared against Falls Church, VA Hospitalist peers
642 annual services across 269 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 | 289 | 12th | $158 – $216 |
| 99213 | Established Preventive & Chronic Care Visit | 167 | 12th | $121 – $166 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 83 | 12th | $58 – $79 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 64 | 12th | $185 – $254 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 39 | 12th | $220 – $301 |
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Dr. Krupal Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1669601522 (MD) | CMS NPPES Registry (22042) |
| Dr. Shah Falls Church CMS Volume Rank | 3.33th Pct (642 CMS svcs; Z -0.125σ) | CMS Medicare Part B (VA Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Falls Church, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.88/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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