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Dr. Priti Patel , CRNP

Moderate Markup
Practice Location: King Of Prussia,Pennsylvania 19406
National Provider Identifier (NPI): 1801515606
25 mins
Average Visit Time
3.17x
Markup Level
24,878
Annual Services
The Rushed Visit Index

Balanced Practice

~25 min face-time

Maintains a steady clinical rhythm balancing focused physical examination with patient discussion.

How is appointment length calculated?

Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).

Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.

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Appointment Length & Visit Style

Clinical appointment coding analysis across standard patient evaluations

Consultation Classification
Standard (20-30 mins)

Dr. Patel provides standard-duration consultations averaging approximately 25 minutes per visit, aligned with typical medical practice guidelines.

What visit duration tells you:
•Thorough evaluations: Longer appointments mean more opportunity to ask questions, review medical histories, and explain treatment options.
•Complex medical care: Patients managing multiple chronic conditions or seeking second opinions often benefit from physicians with extended visit styles.
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Pricing Transparency & Fee Comparison

How this provider bills compared to standard insurance benchmarks

Pricing Markup Ratio
3.17x
National Specialty Average: 2.56x
Total Annual Charges Billed
$3,583,955
Gross billed amount on claims
Standard Benchmark Value
$1,131,237
Customary fee baseline
Practical Guide for Patients and Families:

Dr. Patel bills moderately higher than baseline insurance benchmarks. If you are in-network, your co-pay or coinsurance will be determined by your plan's contracted rate. If paying out of pocket, request an upfront written fee estimate.

Verified Clinical Procedures & Surgical Focus

Official annual procedure volumes, customary fee comparisons, and clinical focus areas.

Clinical Procedure & CodeAnnual ServicesDoctor ChargePeer NormStandard Baselinevs. Peer Norm
HCPCS J2356
8,400$62.78$51.88$18.221.21x
HCPCS J1306
7,384$53.92$28.11$11.841.92x
HCPCS J3245
4,100$407.44$295.50$139.271.38x
HCPCS J2182
3,300$89.30$79.47$29.531.12x
HCPCS J0517
1,230$511.56$437.56$167.161.17x
CPT 96372
252$52.50$46.56$12.531.13x
CPT 96413
65$470.34$429.62$117.931.09x
CPT 96365
55$237.81$210.00$57.681.13x
👨‍⚕️ Physician & Medical Billing Intelligence (Click to view professional coding data)Expand ↓

This section provides clinical practice analytics for healthcare administrators, billing coders, and peer physicians evaluating practice benchmarks:

Evaluation & Management Mix

Estimated appointment time calculation: 25 minutes. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.

Charge-to-Payment Ratio

Gross charge multiplier: 3.17x. Useful for fee schedule alignment, out-of-network charge master analysis, and payer contract negotiations.

Patient Guidance: What to Ask Before Your Appointment

  • In-Network Confirmation: Confirm directly with your insurance plan that Dr. Patel participates in your specific network tier.
  • Surgical Facility Fees: If having surgery, verify whether it will be in a hospital or an outpatient surgery center. Facility charges are billed separately from physician fees.
  • Written Estimates: If you are paying out of pocket or have a high deductible, request a written good-faith estimate before major treatments.