Dr. Shylaja Prashanth, MD
50 E Hamilton Ave Ste 200, Campbell, CA 95008 • +1-673-555-9771
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Campbell Percentiles
NPI #1720263825 • CBSA Regional • Rheumatology
Statistical peer benchmarking across CA Rheumatology providers positions Dr. Shylaja Prashanth, MD in Campbell at -0.30σ (20th city percentile / 63.11th state percentile, 365 Medicare beneficiaries), with clinical focus spanning 30 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Prashanth (averaging 51.7 services per beneficiary), 99214 (Autoimmune Arthritis & Biologic/DMARD Safety Evaluation) represents 3% of tracked volume (553 encounters), paired with 20610 (252x).
For out-of-network patients contacting +1-673-555-9771, Dr. Prashanth's practice posts a $239.00 GPCI self-pay consult estimate ($239.00 patient-logged median, 4.71/5 composite reality score over 18 submissions).
Spanning 31 years of clinical practice following 1995 graduation from medical training, Dr. Shylaja Prashanth integrates 30 Active CMS HCPCS Codes diagnostics for Campbell metro patients.
Compared against Campbell, CA Rheumatology peers
18,875 annual services across 365 beneficiaries
Standard deviations from CA Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 553 | 20th | $52 – $71 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 252 | 25th | $41 – $56 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 180 | 20th | $71 – $97 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 120 | 22th | $54 – $74 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 96 | 21th | $71 – $97 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (30 HCPCS billing breadth) | 17,673 | 20th | $45 – $65 |
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Dr. Shylaja Prashanth, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Prashanth National Provider Identifier | NPI #1720263825 (MD) | CMS NPPES Registry (95008) |
| Dr. Prashanth Campbell CMS Volume Rank | 20.00th Pct (18,875 CMS svcs; Z -0.301σ) | CMS Medicare Part B (CA Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Campbell, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 10 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.83/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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