Dr. Dhivya Prabhakar, MD
600 Celebrate Life Pkwy, Newnan, GA 30265 • +1-221-555-6273
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Newnan Percentiles
NPI #1790114270 • CBSA Regional • Internal Medicine
Operating out of Newnan, GA (600 Celebrate Life Pkwy), Internal Medicine clinician Dr. Dhivya Prabhakar, MD (accredited MD/DO training, 2018) maintains a focused low-volume boutique caseload (29.41th Newnan percentile) (31.78th GA percentile; Z-score -0.14σ across 986 documented services) with sub-specialty concentration in 10 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Dhivya Prabhakar (30265) place 99214 at the top of the practice ledger (444 yearly units, 29.41th metro rank), rounded out by 99213 and 93000.
Self-pay new patient consultations with Dr. Prabhakar (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 12-minute average reception wait, and a 4.84/5 modern protocol openness score across 26 patient logs.
Clinical background for Dr. Prabhakar (MD, NPI #1790114270) includes accredited doctoral training (2018, 8 yrs in practice) and virtual + in-office availability across GA.
Compared against Newnan, GA Internal Medicine peers
986 annual services across 262 beneficiaries
Standard deviations from GA 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 | 444 | 29.41th | $134 – $184 |
| 99213 | Established Preventive & Chronic Care Visit | 256 | 34.41th | $103 – $141 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 128 | 30.41th | $49 – $67 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 99 | 29.41th | $158 – $216 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 59 | 25.41th | $187 – $256 |
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Dr. Dhivya Prabhakar, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Prabhakar National Provider Identifier | NPI #1790114270 (MD) | CMS NPPES Registry (30265) |
| Dr. Prabhakar Newnan CMS Volume Rank | 29.41th Pct (986 CMS svcs; Z -0.137σ) | CMS Medicare Part B (GA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Newnan, GA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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