Dr. Sanjay Suthar, MD
2414 Kohler Memorial DR, Sheboygan, WI 53081 • +1-813-555-2678
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Sheboygan Percentiles
NPI #1437266533 • CBSA Regional • Family Practice
Statistical peer benchmarking across WI Family Practice providers positions Dr. Sanjay Suthar, MD in Sheboygan at -0.25σ (80th city percentile / 51.13th state percentile, 286 Medicare beneficiaries), with clinical focus spanning 43 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1437266533 highlights 481 annual claims for 99214 (80th Sheboygan percentile; $128–$176 self-pay corridor) plus 355 encounters under 99213 and 138 under G0439.
Uninsured and high-deductible cash patients visiting Dr. Sanjay Suthar in Sheboygan (53081) face an estimated $209.00 initial evaluation fee at 2414 Kohler Memorial DR (hybrid in-clinic and telehealth video consults; 16-minute average reception wait; bedside manner 4.82/5 from 4 verified reports).
NPI registry verification (#1437266533) confirms Dr. Sanjay Suthar's MD standing serving CBSA 53081 with a 4.89/5 patient scorecard.
Compared against Sheboygan, WI Family Practice peers
1,269 annual services across 286 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 | 481 | 80th | $128 – $176 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 355 | 78th | $98 – $134 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 138 | 80th | $147 – $201 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 103 | 78th | $28 – $43 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 69 | 81th | $176 – $241 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (43 HCPCS billing breadth) | 123 | 80th | $115 – $167 |
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Dr. Sanjay Suthar, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Suthar National Provider Identifier | NPI #1437266533 (MD) | CMS NPPES Registry (53081) |
| Dr. Suthar Sheboygan CMS Volume Rank | 80.00th Pct (1,269 CMS svcs; Z -0.254σ) | CMS Medicare Part B (WI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sheboygan, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.82/5 Listening • 4.64/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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