Dr. Nirav Shah, MD
9200 W Wisconsin Ave, Neoplasic Diseases, Milwaukee, WI 53226 • +1-793-555-3213
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Milwaukee Percentiles
NPI #1245491257 • CBSA Regional • Hematology-Oncology
Operating out of Milwaukee, WI (9200 W Wisconsin Ave, Neoplasic Diseases), Hematology-Oncology clinician Dr. Nirav Shah, MD (accredited MD/DO training, 2005) maintains a focused low-volume boutique caseload (6.67th Milwaukee percentile) (5.15th WI percentile; Z-score -0.39σ across 697 documented services) with sub-specialty concentration in 18 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1245491257 highlights 314 annual claims for 99214 (12th Milwaukee percentile; $119–$162 self-pay corridor) plus 181 encounters under 99213 and 91 under 93000.
Self-pay new patient consultations with Dr. Shah (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 10-minute average reception wait, and a 4.82/5 modern protocol openness score across 4 patient logs.
NPI registry verification (#1245491257) confirms Dr. Nirav Shah's MD standing serving CBSA 53226 with a 4.69/5 patient scorecard.
Compared against Milwaukee, WI Hematology-Oncology peers
697 annual services across 175 beneficiaries
Standard deviations from WI Hematology-Oncology 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 | 314 | 12th | $119 – $162 |
| 99213 | Established Preventive & Chronic Care Visit | 181 | 12th | $91 – $124 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 91 | 12th | $43 – $59 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 70 | 12th | $139 – $191 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 42 | 12th | $165 – $226 |
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Dr. Nirav Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1245491257 (MD) | CMS NPPES Registry (53226) |
| Dr. Shah Milwaukee CMS Volume Rank | 6.67th Pct (697 CMS svcs; Z -0.388σ) | CMS Medicare Part B (WI Hematology-Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Milwaukee, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.82/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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