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Medical Oncology • Trinity, FL 34655 • NPI #1255335758

Dr. Kapisthalam Kumar, MD

9320 State Road 54, Trinity, FL 34655 • +1-638-555-2100

Medical Education: Accredited U.S. Medical School (Class of 2000)

112 Active CMS HCPCS Codes
4.59/5
Waiting-Room Score
26 patient logs
$216.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Trinity Percentiles

NPI #1255335758 • CBSA Regional • Medical Oncology

Dr. Kapisthalam Kumar DotMD Verification Badge

Within the Trinity, FL (CBSA local) Medical Oncology cohort, Dr. Kapisthalam Kumar, MD with sub-specialty concentration in 112 Active CMS HCPCS Codes ranks at the 33.33th municipal percentile and 68.5th FL percentile (+0.31σ Z-score) based on 174,702 billed procedures for 467 patients.

Among 6 tracked CMS fee-schedule codes for Dr. Kumar (averaging 374.1 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 3% of tracked volume (4572 encounters), paired with 99213 (2642x).

Cash-pay intake data for NPI 1255335758 (9320 State Road 54, Trinity) indicates $216.00 typical out-of-pocket visit spend against a $216.00 locality benchmark, paired with 12-minute average reception wait and 4.53/5 biomarker openness.

Clinical background for Dr. Kumar (MD, NPI #1255335758) includes accredited doctoral training (2000, 26 yrs in practice) and virtual + in-office availability across FL.

Trinity Percentile 33.33th

Compared against Trinity, FL Medical Oncology peers

FL State Percentile 68.50th

174,702 annual services across 467 beneficiaries

Regional Volume Z-Score +0.309σ

Standard deviations from FL Medical Oncology 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 4,572 33.33th $45 – $61
99213 Established Preventive & Chronic Care Visit 2,642 31.33th $34 – $49
93000 In-Office 12-Lead Resting Electrocardiogram 1,321 32.33th $25 – $40
G0439 Annual Preventive Wellness & Cardiometabolic Risk Assessment 1,016 29.33th $53 – $72
99204 Comprehensive New Patient Internal Medicine Diagnostic Visit 610 33.33th $62 – $85
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (112 HCPCS billing breadth) 164,542 33.33th $45 – $65
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Dr. Kapisthalam Kumar, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Kumar National Provider Identifier NPI #1255335758 (MD) CMS NPPES Registry (34655)
Dr. Kumar Trinity CMS Volume Rank 33.33th Pct (174,702 CMS svcs; Z +0.309σ) CMS Medicare Part B (FL Medical Oncology)
Fair Cash-Pay New-Patient Benchmark $216.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Trinity, FL)
Waiting-Room Wait Time & Cash Friendliness $216.00 avg paid • 12 min lobby wait 26 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.93/5 Listening • 4.53/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
12 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $216.00
Listens Without Rushing
4.93/5
Patient communication rating
Modern Protocol Openness
4.53/5
Preventive labs, GLP-1s & HRT
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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