Ophthalmology • Reston, VA 20190 • NPI #1518173079

Dr. Nisha Patel, MD

12110 Sunset Hills Rd, Suite C50, Reston, VA 20190 • +1-817-555-4009

Medical Education: Accredited U.S. Medical School (Class of 2011)

25 Active CMS HCPCS Codes
4.81/5
Waiting-Room Score
4 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Reston Percentiles

NPI #1518173079 • CBSA Regional • Ophthalmology

Dr. Nisha Patel DotMD Verification Badge

CMS Medicare Part B utilization records credit Dr. Nisha Patel (MD, NPI 1518173079) at 12110 Sunset Hills Rd, Suite C50 in Reston with 745 annual clinical services (226 beneficiaries), corresponding to a -0.52σ regional deviation and focused low-volume boutique caseload (11.11th Reston percentile) with sub-specialty concentration in 25 Active CMS HCPCS Codes.

Among 5 tracked CMS fee-schedule codes for Dr. Patel (averaging 3.3 services per beneficiary), 92014 (Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam) represents 37% of tracked volume (276 encounters), paired with 92134 (194x).

Self-pay new patient consultations with Dr. Patel (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 18-minute average reception wait, and a 4.41/5 modern protocol openness score across 4 patient logs.

Credentialed as an MD specialist with 15 years post-graduation experience since completing medical school at an LCME/COCA institution (2011), Dr. Patel coordinates 25 Active CMS HCPCS Codes workups from 12110 Sunset Hills Rd, Suite C50 (+1-817-555-4009).

Reston Percentile 11.11th

Compared against Reston, VA Ophthalmology peers

VA State Percentile 2.91th

745 annual services across 226 beneficiaries

Regional Volume Z-Score -0.519σ

Standard deviations from VA Ophthalmology mean utilization

Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks

HCPCS Clinical Procedure Description Annual Volume Local Pct Est. Cash Range
92014 Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam 276 12th $218 – $299
92134 Scanning Computerized Ophthalmic Retinal OCT Imaging 194 14.11th $120 – $165
92083 Extended Threshold Visual Field Glaucoma Perimetry 127 12th $144 – $198
92004 New Patient Complete Medical Eye & IOP Evaluation 89 13.11th $263 – $360
66984 Extracapsular Cataract Removal w/ Intraocular Lens Implant 60 14.11th $962 – $1318
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Dr. Nisha Patel, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Patel National Provider Identifier NPI #1518173079 (MD) CMS NPPES Registry (20190)
Dr. Patel Reston CMS Volume Rank 11.11th Pct (745 CMS svcs; Z -0.519σ) CMS Medicare Part B (VA Ophthalmology)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Reston, VA)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 18 min lobby wait 4 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.70/5 Listening • 4.41/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
18 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.70/5
Patient communication rating
Modern Protocol Openness
4.41/5
Preventive labs, GLP-1s & HRT
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