Dr. Prathibha Venkataswamy, MD
3901 Lone Tree Way, Antioch, CA 94509 • +1-257-555-8650
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Antioch Percentiles
NPI #1396714358 • CBSA Regional • Internal Medicine
Anchored in Antioch, CA 94509, Dr. Prathibha Venkataswamy, MD (NPI 1396714358) logged 917 annual procedures (focused low-volume boutique caseload (33.33th Antioch percentile), 24th CA percentile, -0.10σ) with sub-specialty concentration in 4 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 3901 Lone Tree Way shows Dr. Prathibha Venkataswamy's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 413x/yr, 33.33th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 238x/yr, $184–$252).
Self-pay new patient consultations with Dr. Venkataswamy (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 21-minute average reception wait, and a 4.64/5 modern protocol openness score across 5 patient logs.
NPI registry verification (#1396714358) confirms Dr. Prathibha Venkataswamy's MD standing serving CBSA 94509 with a 4.90/5 patient scorecard.
Compared against Antioch, CA Internal Medicine peers
917 annual services across 346 beneficiaries
Standard deviations from CA 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 | 413 | 33.33th | $240 – $329 |
| 99213 | Established Preventive & Chronic Care Visit | 238 | 31.33th | $184 – $252 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 119 | 35.33th | $88 – $120 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 92 | 28.33th | $282 – $387 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 55 | 36.33th | $334 – $458 |
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Dr. Prathibha Venkataswamy, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Venkataswamy National Provider Identifier | NPI #1396714358 (MD) | CMS NPPES Registry (94509) |
| Dr. Venkataswamy Antioch CMS Volume Rank | 33.33th Pct (917 CMS svcs; Z -0.102σ) | CMS Medicare Part B (CA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Antioch, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 21 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.58/5 Listening • 4.64/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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