Dr. Kosha Nathwani, MD
326 Santa Fe DR Fl 3, Encinitas, CA 92024 • +1-960-555-6292
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Encinitas Percentiles
NPI #1275066607 • CBSA Regional • Family Practice
Operating out of Encinitas, CA (326 Santa Fe DR Fl 3), Family Practice clinician Dr. Kosha Nathwani, MD (accredited MD/DO training, 2015) maintains a mid-cohort balanced caseload (54.17th Encinitas percentile) (83.02th CA percentile; Z-score +0.00σ across 3,777 documented services) with sub-specialty concentration in 51 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Nathwani (averaging 28.2 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 6% of tracked volume (210 encounters), paired with 99213 (155x).
Self-pay new patient consultations with Dr. Nathwani (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 14-minute average reception wait, and a 4.84/5 modern protocol openness score across 14 patient logs.
NPI registry verification (#1275066607) confirms Dr. Kosha Nathwani's MD standing serving CBSA 92024 with a 4.63/5 patient scorecard.
Compared against Encinitas, CA Family Practice peers
3,777 annual services across 134 beneficiaries
Standard deviations from CA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 210 | 54.17th | $51 – $71 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 155 | 59.17th | $39 – $54 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 60 | 58.17th | $59 – $81 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 45 | 57.17th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 30 | 56.17th | $71 – $97 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (51 HCPCS billing breadth) | 3,278 | 54.17th | $46 – $67 |
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Dr. Kosha Nathwani, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nathwani National Provider Identifier | NPI #1275066607 (MD) | CMS NPPES Registry (92024) |
| Dr. Nathwani Encinitas CMS Volume Rank | 54.17th Pct (3,777 CMS svcs; Z +0.001σ) | CMS Medicare Part B (CA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Encinitas, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 14 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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