Dr. Sanjay Kumar, MD
3501 Cranberry Blvd, Weston, WI 54476 • +1-959-555-9204
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Weston Percentiles
NPI #1063528867 • CBSA Regional • Clinical Cardiac Electrophysiology
Within the Weston, WI (CBSA local) Clinical Cardiac Electrophysiology cohort, Dr. Sanjay Kumar, MD with sub-specialty concentration in 76 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 35th WI percentile (-0.42σ Z-score) based on 1,868 billed procedures for 804 patients.
Medicare Part B line-item claims for Dr. Sanjay Kumar (54476) place 99214 at the top of the practice ledger (841 yearly units, 99th metro rank), rounded out by 99213 and 93000.
Self-pay new patient consultations with Dr. Kumar (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 10-minute average reception wait, and a 4.85/5 modern protocol openness score across 24 patient logs.
Spanning 13 years of clinical practice following 2013 graduation from medical training, Dr. Sanjay Kumar integrates 76 Active CMS HCPCS Codes diagnostics for Weston metro patients.
Top 10% Clinical Cardiac Electrophysiology volume leader in Weston, WI
1,868 annual services across 804 beneficiaries
Standard deviations from WI Clinical Cardiac Electrophysiology 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 | 841 | 99th | $117 – $160 |
| 99213 | Established Preventive & Chronic Care Visit | 486 | 98th | $89 – $123 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 243 | 96th | $43 – $59 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 187 | 94th | $137 – $188 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 112 | 99.5th | $163 – $223 |
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Dr. Sanjay Kumar, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kumar National Provider Identifier | NPI #1063528867 (MD) | CMS NPPES Registry (54476) |
| Dr. Kumar Weston CMS Volume Rank | 99.00th Pct (1,868 CMS svcs; Z -0.422σ) | CMS Medicare Part B (WI Clinical Cardiac Electrophysiology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Weston, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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