Dr. Rishi Agarwal, MD
1 Independence Plz, Suite 900, Birmingham, AL 35209 • +1-689-555-7035
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Birmingham Percentiles
NPI #1164625257 • CBSA Regional • Gastroenterology
Dr. Rishi Agarwal, MD (NPI #1164625257) practices Gastroenterology in Birmingham, AL (35209) with sub-specialty concentration in 45 Active CMS HCPCS Codes, recording 3,015 annual CMS services across 356 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (60th Birmingham percentile) (-0.30σ vs AL state mean, 62.92th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Agarwal (averaging 8.5 services per beneficiary), 99214 (Established Gastroenterology, GERD & IBD Evaluation) represents 37% of tracked volume (1116 encounters), paired with 45380 (754x).
Self-pay new patient consultations with Dr. Agarwal (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 11-minute average reception wait, and a 4.75/5 modern protocol openness score across 3 patient logs.
Patients evaluating Dr. Rishi Agarwal in ZIP 35209 note 16 years of post-doctoral tenure (null, 2010) alongside 8.5 annual CMS procedures per patient.
Compared against Birmingham, AL Gastroenterology peers
3,015 annual services across 356 beneficiaries
Standard deviations from AL Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 1,116 | 60th | $88 – $120 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 754 | 63th | $211 – $289 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 633 | 62th | $175 – $240 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 302 | 64th | $235 – $322 |
| 99204 | New Patient Digestive & Hepatology Consultation | 211 | 62th | $123 – $169 |
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Dr. Rishi Agarwal, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Agarwal National Provider Identifier | NPI #1164625257 (MD) | CMS NPPES Registry (35209) |
| Dr. Agarwal Birmingham CMS Volume Rank | 60.00th Pct (3,015 CMS svcs; Z -0.299σ) | CMS Medicare Part B (AL Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Birmingham, AL) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.75/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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