Dr. Nirav Patel, MD
N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 • +1-785-555-1873
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Menomonee Falls Percentiles
NPI #1316384167 • CBSA Regional • Family Practice
Operating out of Menomonee Falls, WI (N84w16889 Menomonee Ave), Family Practice clinician Dr. Nirav Patel, MD (accredited MD/DO training, 2005) maintains a mid-cohort balanced caseload (50th Menomonee Falls percentile) (22.35th WI percentile; Z-score -0.40σ across 813 documented services) with sub-specialty concentration in 30 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1316384167 highlights 299 annual claims for 99214 (50th Menomonee Falls percentile; $143–$196 self-pay corridor) plus 221 encounters under 99213 and 86 under G0439.
Cash-pay intake data for NPI 1316384167 (N84w16889 Menomonee Ave, Menomonee Falls) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 14-minute average reception wait and 4.63/5 biomarker openness.
Patients evaluating Dr. Nirav Patel in ZIP 53051 note 21 years of post-doctoral tenure (null, 2005) alongside 5.2 annual CMS procedures per patient.
Compared against Menomonee Falls, WI Family Practice peers
813 annual services across 157 beneficiaries
Standard deviations from WI Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 299 | 50th | $143 – $196 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 221 | 47th | $110 – $150 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 86 | 55th | $164 – $225 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 64 | 49th | $31 – $46 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 43 | 50th | $197 – $270 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (30 HCPCS billing breadth) | 100 | 50th | $129 – $187 |
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Dr. Nirav Patel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1316384167 (MD) | CMS NPPES Registry (53051) |
| Dr. Patel Menomonee Falls CMS Volume Rank | 50.00th Pct (813 CMS svcs; Z -0.402σ) | CMS Medicare Part B (WI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Menomonee Falls, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.63/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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