Dr. Marty Prah, MD
5400 W Hillsdale Ave, Visalia, CA 93291 • +1-399-555-9951
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Visalia Percentiles
NPI #1528065125 • CBSA Regional • Urology
CMS Medicare Part B utilization records credit Dr. Marty Prah (MD, NPI 1528065125) at 5400 W Hillsdale Ave in Visalia with 5,280 annual clinical services (297 beneficiaries), corresponding to a -0.18σ regional deviation and focused low-volume boutique caseload (0th Visalia percentile) with sub-specialty concentration in 59 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1528065125 highlights 648 annual claims for 99214 (12th Visalia percentile; $99–$136 self-pay corridor) plus 486 encounters under 51798 and 306 under 52000.
Cash-pay intake data for NPI 1528065125 (5400 W Hillsdale Ave, Visalia) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 9-minute average reception wait and 4.61/5 biomarker openness.
Spanning 25 years of clinical practice following 2001 graduation from medical training, Dr. Marty Prah integrates 59 Active CMS HCPCS Codes diagnostics for Visalia metro patients.
Compared against Visalia, CA Urology peers
5,280 annual services across 297 beneficiaries
Standard deviations from CA Urology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Urologic, BPH & Androgen Evaluation | 648 | 12th | $99 – $136 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 486 | 12th | $41 – $57 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 306 | 12th | $203 – $278 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 216 | 12th | $56 – $77 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 144 | 12th | $140 – $191 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (59 HCPCS billing breadth) | 3,481 | 0th | $89 – $129 |
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Dr. Marty Prah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Prah National Provider Identifier | NPI #1528065125 (MD) | CMS NPPES Registry (93291) |
| Dr. Prah Visalia CMS Volume Rank | 0.00th Pct (5,280 CMS svcs; Z -0.185σ) | CMS Medicare Part B (CA Urology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Visalia, 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 • 4.61/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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