Dr. Kalpa Rathod, MD
14502 W Meeker Blvd, Sun City West, AZ 85375 • +1-837-555-9431
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Sun City West Percentiles
NPI #1518111905 • CBSA Regional • Internal Medicine
Within the Sun City West, AZ (CBSA local) Internal Medicine cohort, Dr. Kalpa Rathod, MD with sub-specialty concentration in 14 Active CMS HCPCS Codes ranks at the 17.86th municipal percentile and 21.51th AZ percentile (-0.21σ Z-score) based on 825 billed procedures for 355 patients.
Granular CPT/HCPCS billing distribution at 14502 W Meeker Blvd shows Dr. Kalpa Rathod's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 371x/yr, 17.86th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 215x/yr, $136–$187).
Self-pay new patient consultations with Dr. Rathod (CPT 99204 GPCI-adjusted benchmark) estimate around $207.00 (community reported average: $207.00) with hybrid in-clinic and telehealth video consults, 12-minute average reception wait, and a 4.75/5 modern protocol openness score across 10 patient logs.
Credentialed as an MD specialist with 18 years post-graduation experience since completing medical school at an LCME/COCA institution (2008), Dr. Rathod coordinates 14 Active CMS HCPCS Codes workups from 14502 W Meeker Blvd (+1-837-555-9431).
Compared against Sun City West, AZ Internal Medicine peers
825 annual services across 355 beneficiaries
Standard deviations from AZ Internal Medicine 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 | 371 | 17.86th | $178 – $244 |
| 99213 | Established Preventive & Chronic Care Visit | 215 | 15.86th | $136 – $187 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 107 | 22.86th | $65 – $89 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 83 | 20.86th | $209 – $286 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 50 | 22.86th | $248 – $339 |
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Dr. Kalpa Rathod, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rathod National Provider Identifier | NPI #1518111905 (MD) | CMS NPPES Registry (85375) |
| Dr. Rathod Sun City West CMS Volume Rank | 17.86th Pct (825 CMS svcs; Z -0.211σ) | CMS Medicare Part B (AZ Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $207.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sun City West, AZ) |
| Waiting-Room Wait Time & Cash Friendliness | $207.00 avg paid • 12 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.75/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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