Dr. Sarmistha Kumar, DO
130 Cedar Rd, Vista, CA 92083 • +1-628-555-3589
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Vista Percentiles
NPI #1720002058 • CBSA Regional • Physical Medicine and Rehabilitation
Statistical peer benchmarking across CA Physical Medicine and Rehabilitation providers positions Dr. Sarmistha Kumar, DO in Vista at -0.35σ (99th city percentile / 25.45th state percentile, 359 Medicare beneficiaries), with clinical focus spanning 32 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1720002058 highlights 410 annual claims for 99214 (99th Vista percentile; $168–$231 self-pay corridor) plus 237 encounters under 99213 and 118 under 93000.
For out-of-network patients contacting +1-628-555-3589, Dr. Kumar's practice posts a $239.00 GPCI self-pay consult estimate ($239.00 patient-logged median, 4.94/5 composite reality score over 25 submissions).
Credentialed as an DO specialist with 18 years post-graduation experience since completing medical school at an LCME/COCA institution (2008), Dr. Kumar coordinates 32 Active CMS HCPCS Codes workups from 130 Cedar Rd (+1-628-555-3589).
Top 10% Physical Medicine and Rehabilitation volume leader in Vista, CA
1,307 annual services across 359 beneficiaries
Standard deviations from CA Physical Medicine and Rehabilitation 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 | 410 | 99th | $168 – $231 |
| 99213 | Established Preventive & Chronic Care Visit | 237 | 94th | $129 – $176 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 118 | 99.5th | $61 – $84 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 91 | 99.5th | $197 – $271 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 55 | 99.5th | $234 – $321 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (32 HCPCS billing breadth) | 396 | 99th | $152 – $220 |
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Dr. Sarmistha Kumar, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kumar National Provider Identifier | NPI #1720002058 (DO) | CMS NPPES Registry (92083) |
| Dr. Kumar Vista CMS Volume Rank | 99.00th Pct (1,307 CMS svcs; Z -0.353σ) | CMS Medicare Part B (CA Physical Medicine and Rehabilitation) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Vista, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 21 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.46/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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