Dr. Kara Orsak, MD
87 E Olive Ave, Suite 100, Fresno, CA 93728 • +1-869-555-5268
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Fresno Percentiles
NPI #1922027960 • CBSA Regional • Internal Medicine
Within the Fresno, CA (CBSA local) Internal Medicine cohort, Dr. Kara Orsak, MD with sub-specialty concentration in 5 Active CMS HCPCS Codes ranks at the 4.35th municipal percentile and 2.64th CA percentile (-0.11σ Z-score) based on 655 billed procedures for 200 patients.
Dr. Orsak's longitudinal care intensity (3.3 billed units per patient across 200 individuals) centers on 99214 (295 annual units) and 99213 ($201–$275 cash range).
Self-pay new patient consultations with Dr. Orsak (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with in-person clinic visits only, 12-minute average reception wait, and a 4.87/5 modern protocol openness score across 6 patient logs.
From 87 E Olive Ave, Suite 100 in Fresno (+1-869-555-5268), Dr. Orsak, MD (13-year clinical track record) delivers 5 Active CMS HCPCS Codes care.
Compared against Fresno, CA Internal Medicine peers
655 annual services across 200 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 | 295 | 12th | $262 – $359 |
| 99213 | Established Preventive & Chronic Care Visit | 170 | 12th | $201 – $275 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 85 | 12th | $96 – $131 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 66 | 12th | $308 – $422 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 39 | 12th | $365 – $500 |
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Dr. Kara Orsak, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Orsak National Provider Identifier | NPI #1922027960 (MD) | CMS NPPES Registry (93728) |
| Dr. Orsak Fresno CMS Volume Rank | 4.35th Pct (655 CMS svcs; Z -0.109σ) | CMS Medicare Part B (CA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fresno, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 12 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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