Dr. Vivek Manikal, MD
1093 A1a Beach Blvd Pmb415, St Augustine, FL 32080 • +1-331-555-6955
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & St Augustine Percentiles
NPI #1093910879 • CBSA Regional • Infectious Disease
CMS Medicare Part B utilization records credit Dr. Vivek Manikal (MD, NPI 1093910879) at 1093 A1a Beach Blvd Pmb415 in St Augustine with 1,716 annual clinical services (509 beneficiaries), corresponding to a -0.23σ regional deviation and top-decile high-throughput specialist (99th percentile in St Augustine) with sub-specialty concentration in 26 Active CMS HCPCS Codes.
Dr. Manikal's longitudinal care intensity (3.4 billed units per patient across 509 individuals) centers on 99214 (772 annual units) and 99213 ($125–$171 cash range).
Self-pay new patient consultations with Dr. Manikal (CPT 99204 GPCI-adjusted benchmark) estimate around $216.00 (community reported average: $216.00) with hybrid in-clinic and telehealth video consults, 13-minute average reception wait, and a 4.56/5 modern protocol openness score across 5 patient logs.
NPI registry verification (#1093910879) confirms Dr. Vivek Manikal's MD standing serving CBSA 32080 with a 4.62/5 patient scorecard.
Top 10% Infectious Disease volume leader in St Augustine, FL
1,716 annual services across 509 beneficiaries
Standard deviations from FL Infectious Disease 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 | 772 | 99th | $163 – $223 |
| 99213 | Established Preventive & Chronic Care Visit | 446 | 99.5th | $125 – $171 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 223 | 99.5th | $59 – $81 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 172 | 99.5th | $191 – $262 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 103 | 95th | $226 – $310 |
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Dr. Vivek Manikal, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Manikal National Provider Identifier | NPI #1093910879 (MD) | CMS NPPES Registry (32080) |
| Dr. Manikal St Augustine CMS Volume Rank | 99.00th Pct (1,716 CMS svcs; Z -0.225σ) | CMS Medicare Part B (FL Infectious Disease) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (St Augustine, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 13 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.56/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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