Dr. Nilesh Gupta, MD
N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 • +1-785-555-5835
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Menomonee Falls Percentiles
NPI #1255363636 • CBSA Regional • Pulmonary Disease
Operating out of Menomonee Falls, WI (N84w16889 Menomonee Ave), Pulmonary Disease clinician Dr. Nilesh Gupta, MD (accredited MD/DO training, 1999) maintains a focused low-volume boutique caseload (25th Menomonee Falls percentile) (38.54th WI percentile; Z-score -0.49σ across 985 documented services) with sub-specialty concentration in 26 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Nilesh Gupta (53051) place 99214 at the top of the practice ledger (273 yearly units, 25th metro rank), rounded out by 94060 and 94729.
At N84w16889 Menomonee Ave (53051), Dr. Nilesh Gupta, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.55/5 bedside rating).
Clinical background for Dr. Gupta (MD, NPI #1255363636) includes accredited doctoral training (1999, 27 yrs in practice) and virtual + in-office availability across WI.
Compared against Menomonee Falls, WI Pulmonary Disease peers
985 annual services across 301 beneficiaries
Standard deviations from WI Pulmonary Disease 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 Pulmonary, Asthma & COPD Management | 273 | 25th | $92 – $126 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 153 | 26th | $60 – $82 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 113 | 20th | $54 – $74 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 73 | 28th | $168 – $230 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 53 | 30th | $129 – $177 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (26 HCPCS billing breadth) | 319 | 25th | $83 – $120 |
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Dr. Nilesh Gupta, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gupta National Provider Identifier | NPI #1255363636 (MD) | CMS NPPES Registry (53051) |
| Dr. Gupta Menomonee Falls CMS Volume Rank | 25.00th Pct (985 CMS svcs; Z -0.489σ) | CMS Medicare Part B (WI Pulmonary Disease) |
| 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 • 16 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.55/5 Listening • 4.52/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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