Dr. Nithin Karakala, MD
4301 W Markham St # 501, Little Rock, AR 72205 • +1-590-555-9868
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Little Rock Percentiles
NPI #1639356827 • CBSA Regional • Nephrology
Statistical peer benchmarking across AR Nephrology providers positions Dr. Nithin Karakala, MD in Little Rock at -1.08σ (8.33th city percentile / 2.22th state percentile, 236 Medicare beneficiaries), with clinical focus spanning 19 Active CMS HCPCS Codes.
Among 4 tracked CMS fee-schedule codes for Dr. Karakala (averaging 2.8 services per beneficiary), 99214 (Chronic Kidney Disease eGFR, uACR & Electrolyte Management) represents 48% of tracked volume (320 encounters), paired with 90960 (147x).
Cash-pay intake data for NPI 1639356827 (4301 W Markham St # 501, Little Rock) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 17-minute average reception wait and 4.54/5 biomarker openness.
NPI registry verification (#1639356827) confirms Dr. Nithin Karakala's MD standing serving CBSA 72205 with a 4.84/5 patient scorecard.
Compared against Little Rock, AR Nephrology peers
667 annual services across 236 beneficiaries
Standard deviations from AR Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 320 | 12th | $191 – $261 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 147 | 12th | $382 – $523 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 120 | 12th | $278 – $381 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 80 | 12th | $262 – $360 |
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Dr. Nithin Karakala, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Karakala National Provider Identifier | NPI #1639356827 (MD) | CMS NPPES Registry (72205) |
| Dr. Karakala Little Rock CMS Volume Rank | 8.33th Pct (667 CMS svcs; Z -1.076σ) | CMS Medicare Part B (AR Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Little Rock, AR) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.54/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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