Dr. Nilay Gandhi, MD
2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 • +1-406-555-7183
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Woodbridge Percentiles
NPI #1861657488 • CBSA Regional • Urology
Dr. Nilay Gandhi, MD (NPI #1861657488) practices Urology in Woodbridge, VA (22191) with sub-specialty concentration in 93 Active CMS HCPCS Codes, recording 99,570 annual CMS services across 1,178 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (88.89th Woodbridge percentile) (+5.32σ vs VA state mean, 98.88th statewide percentile).
Fee-schedule auditing of NPI 1861657488 highlights 2207 annual claims for 99214 (88.89th Woodbridge percentile; $43–$60 self-pay corridor) plus 1655 encounters under 51798 and 1042 under 52000.
For out-of-network patients contacting +1-406-555-7183, Dr. Gandhi's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.83/5 composite reality score over 14 submissions).
Credentialed as an MD specialist with 20 years post-graduation experience since completing medical school at an LCME/COCA institution (2006), Dr. Gandhi coordinates 93 Active CMS HCPCS Codes workups from 2296 Opitz Blvd, Suite 350 (+1-406-555-7183).
Compared against Woodbridge, VA Urology peers
99,570 annual services across 1,178 beneficiaries
Standard deviations from VA Urology 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 Urologic, BPH & Androgen Evaluation | 2,207 | 88.89th | $43 – $60 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 1,655 | 89.89th | $25 – $40 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 1,042 | 86.89th | $89 – $122 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 736 | 90.89th | $25 – $40 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 490 | 92.89th | $61 – $84 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (93 HCPCS billing breadth) | 93,439 | 88.89th | $45 – $65 |
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Dr. Nilay Gandhi, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gandhi National Provider Identifier | NPI #1861657488 (MD) | CMS NPPES Registry (22191) |
| Dr. Gandhi Woodbridge CMS Volume Rank | 88.89th Pct (99,570 CMS svcs; Z +5.318σ) | CMS Medicare Part B (VA Urology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Woodbridge, VA) |
| 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 • 4.63/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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