Dr. Vishal Banthia, MD
2390 Faraday Ave, Carlsbad, CA 92008 • +1-242-555-8822
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Carlsbad Percentiles
NPI #1043396559 • CBSA Regional • Otolaryngology
Anchored in Carlsbad, CA 92008, Dr. Vishal Banthia, MD (NPI 1043396559) logged 2,035 annual procedures (mid-cohort balanced caseload (40th Carlsbad percentile), 69.08th CA percentile, -0.05σ) with sub-specialty concentration in 38 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Vishal Banthia (92008) place 99213 at the top of the practice ledger (692 yearly units, 40th metro rank), rounded out by 31231 and 31575.
Self-pay new patient consultations with Dr. Banthia (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 20-minute average reception wait, and a 4.63/5 modern protocol openness score across 4 patient logs.
Patients evaluating Dr. Vishal Banthia in ZIP 92008 note 15 years of post-doctoral tenure (null, 2011) alongside 19.0 annual CMS procedures per patient.
Compared against Carlsbad, CA Otolaryngology peers
2,035 annual services across 107 beneficiaries
Standard deviations from CA Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 692 | 40th | $121 – $165 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 509 | 42th | $243 – $332 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 387 | 40th | $177 – $243 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 265 | 44th | $85 – $117 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 183 | 45th | $76 – $104 |
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Dr. Vishal Banthia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Banthia National Provider Identifier | NPI #1043396559 (MD) | CMS NPPES Registry (92008) |
| Dr. Banthia Carlsbad CMS Volume Rank | 40.00th Pct (2,035 CMS svcs; Z -0.047σ) | CMS Medicare Part B (CA Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Carlsbad, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 20 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.58/5 Listening • 4.63/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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