Dr. Prabhakar Rumalla, MD
1901 Se 18th Ave, Bldg # 400, Ocala, FL 34471 • +1-385-555-3941
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Ocala Percentiles
NPI #1669404943 • CBSA Regional • Gastroenterology
Within the Ocala, FL (CBSA local) Gastroenterology cohort, Dr. Prabhakar Rumalla, MD with sub-specialty concentration in 34 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 5.65th FL percentile (-0.45σ Z-score) based on 687 billed procedures for 426 patients.
Among 5 tracked CMS fee-schedule codes for Dr. Rumalla (averaging 1.6 services per beneficiary), 99214 (Established Gastroenterology, GERD & IBD Evaluation) represents 37% of tracked volume (254 encounters), paired with 45380 (172x).
Direct cash-pay transparency modeling sets Dr. Rumalla's baseline new-consult rate near $216.00 in Ocala, FL (cash-pay accepted, hybrid in-clinic and telehealth video consults, 16-minute average reception wait).
Spanning 11 years of clinical practice following 2015 graduation from medical training, Dr. Prabhakar Rumalla integrates 34 Active CMS HCPCS Codes diagnostics for Ocala metro patients.
Compared against Ocala, FL Gastroenterology peers
687 annual services across 426 beneficiaries
Standard deviations from FL Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 254 | 12th | $225 – $308 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 172 | 12th | $542 – $742 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 144 | 12th | $450 – $616 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 69 | 12th | $603 – $826 |
| 99204 | New Patient Digestive & Hepatology Consultation | 48 | 12th | $317 – $434 |
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Dr. Prabhakar Rumalla, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rumalla National Provider Identifier | NPI #1669404943 (MD) | CMS NPPES Registry (34471) |
| Dr. Rumalla Ocala CMS Volume Rank | 0.00th Pct (687 CMS svcs; Z -0.447σ) | CMS Medicare Part B (FL Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Ocala, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 16 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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