Dr. Priya Kumaravelu, MD
175 N Jackson Ave, Suite 209, San Jose, CA 95116 • +1-290-555-5058
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & San Jose Percentiles
NPI #1154514677 • CBSA Regional • Hematology-Oncology
Operating out of San Jose, CA (175 N Jackson Ave, Suite 209), Hematology-Oncology clinician Dr. Priya Kumaravelu, MD (accredited MD/DO training, 2016) maintains a focused low-volume boutique caseload (12.5th San Jose percentile) (14.79th CA percentile; Z-score -0.62σ across 1,149 documented services) with sub-specialty concentration in 10 Active CMS HCPCS Codes.
Dr. Kumaravelu's longitudinal care intensity (4.2 billed units per patient across 276 individuals) centers on 99214 (517 annual units) and 99213 ($229–$313 cash range).
Direct cash-pay transparency modeling sets Dr. Kumaravelu's baseline new-consult rate near $239.00 in San Jose, CA (cash-pay accepted, in-person clinic visits only, 9-minute average reception wait).
NPI registry verification (#1154514677) confirms Dr. Priya Kumaravelu's MD standing serving CBSA 95116 with a 4.52/5 patient scorecard.
Compared against San Jose, CA Hematology-Oncology peers
1,149 annual services across 276 beneficiaries
Standard deviations from CA Hematology-Oncology 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 | 517 | 12.5th | $299 – $409 |
| 99213 | Established Preventive & Chronic Care Visit | 299 | 15.5th | $229 – $313 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 149 | 15.5th | $109 – $150 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 115 | 12th | $351 – $481 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 69 | 12th | $416 – $570 |
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Dr. Priya Kumaravelu, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kumaravelu National Provider Identifier | NPI #1154514677 (MD) | CMS NPPES Registry (95116) |
| Dr. Kumaravelu San Jose CMS Volume Rank | 12.50th Pct (1,149 CMS svcs; Z -0.624σ) | CMS Medicare Part B (CA Hematology-Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (San Jose, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 9 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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