Dr. Afshin Khams, MD
424 Savannah Rd, Lewes, DE 19958 • +1-482-555-8966
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Lewes Percentiles
NPI #1669440194 • CBSA Regional • Internal Medicine
Within the Lewes, DE (CBSA local) Internal Medicine cohort, Dr. Afshin Khams, MD with sub-specialty concentration in 13 Active CMS HCPCS Codes ranks at the 25th municipal percentile and 38.73th DE percentile (-0.15σ Z-score) based on 1,064 billed procedures for 994 patients.
Fee-schedule auditing of NPI 1669440194 highlights 479 annual claims for 99214 (25th Lewes percentile; $222–$304 self-pay corridor) plus 277 encounters under 99213 and 138 under 93000.
Cash-pay intake data for NPI 1669440194 (424 Savannah Rd, Lewes) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 20-minute average reception wait and 4.67/5 biomarker openness.
Credentialed as an MD specialist with 24 years post-graduation experience since completing medical school at an LCME/COCA institution (2002), Dr. Khams coordinates 13 Active CMS HCPCS Codes workups from 424 Savannah Rd (+1-482-555-8966).
Compared against Lewes, DE Internal Medicine peers
1,064 annual services across 994 beneficiaries
Standard deviations from DE 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 | 479 | 25th | $222 – $304 |
| 99213 | Established Preventive & Chronic Care Visit | 277 | 25th | $170 – $233 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 138 | 26th | $81 – $111 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 106 | 29th | $261 – $357 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 64 | 30th | $309 – $424 |
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Dr. Afshin Khams, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Khams National Provider Identifier | NPI #1669440194 (MD) | CMS NPPES Registry (19958) |
| Dr. Khams Lewes CMS Volume Rank | 25.00th Pct (1,064 CMS svcs; Z -0.151σ) | CMS Medicare Part B (DE Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lewes, DE) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.67/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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