Dr. Madhava Narala, MD
568 E Herndon Ave, Suite 102, Fresno, CA 93720 • +1-227-555-8648
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Fresno Percentiles
NPI #1447246699 • CBSA Regional • Internal Medicine
Anchored in Fresno, CA 93720, Dr. Madhava Narala, MD (NPI 1447246699) logged 1,470 annual procedures (mid-cohort balanced caseload (43.48th Fresno percentile), 49.07th CA percentile, -0.09σ) with sub-specialty concentration in 11 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Narala (averaging 4.0 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (662 encounters), paired with 99213 (382x).
Uninsured and high-deductible cash patients visiting Dr. Madhava Narala in Fresno (93720) face an estimated $239.00 initial evaluation fee at 568 E Herndon Ave, Suite 102 (hybrid in-clinic and telehealth video consults; 14-minute average reception wait; bedside manner 4.55/5 from 8 verified reports).
NPI registry verification (#1447246699) confirms Dr. Madhava Narala's MD standing serving CBSA 93720 with a 4.61/5 patient scorecard.
Compared against Fresno, CA Internal Medicine peers
1,470 annual services across 370 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 | 662 | 43.48th | $200 – $274 |
| 99213 | Established Preventive & Chronic Care Visit | 382 | 44.48th | $153 – $210 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 191 | 45.48th | $73 – $100 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 147 | 47.48th | $235 – $321 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 88 | 41.48th | $278 – $381 |
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Dr. Madhava Narala, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Narala National Provider Identifier | NPI #1447246699 (MD) | CMS NPPES Registry (93720) |
| Dr. Narala Fresno CMS Volume Rank | 43.48th Pct (1,470 CMS svcs; Z -0.085σ) | 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 • 14 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.55/5 Listening • 4.73/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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