Dr. Karan Rai, MD
1701 E College Ave, Bloomington, IL 61704 • +1-964-555-3589
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Bloomington Percentiles
NPI #1306343603 • CBSA Regional • Sports Medicine
Anchored in Bloomington, IL 61704, Dr. Karan Rai, MD (NPI 1306343603) logged 1,867 annual procedures (top-decile high-throughput specialist (99th percentile in Bloomington), 38.03th IL percentile, -0.40σ) with sub-specialty concentration in 36 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Rai (averaging 9.8 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 10% of tracked volume (188 encounters), paired with 99213 (108x).
Uninsured and high-deductible cash patients visiting Dr. Karan Rai in Bloomington (61704) face an estimated $218.00 initial evaluation fee at 1701 E College Ave (hybrid in-clinic and telehealth video consults; 10-minute average reception wait; bedside manner 4.84/5 from 26 verified reports).
Spanning 17 years of clinical practice following 2009 graduation from medical training, Dr. Karan Rai integrates 36 Active CMS HCPCS Codes diagnostics for Bloomington metro patients.
Top 10% Sports Medicine volume leader in Bloomington, IL
1,867 annual services across 190 beneficiaries
Standard deviations from IL Sports 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 | 188 | 99th | $48 – $66 |
| 99213 | Established Preventive & Chronic Care Visit | 108 | 94th | $37 – $52 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 54 | 99.5th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 42 | 95th | $56 – $77 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 25 | 99.5th | $67 – $91 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (36 HCPCS billing breadth) | 1,450 | 99th | $45 – $65 |
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Dr. Karan Rai, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rai National Provider Identifier | NPI #1306343603 (MD) | CMS NPPES Registry (61704) |
| Dr. Rai Bloomington CMS Volume Rank | 99.00th Pct (1,867 CMS svcs; Z -0.399σ) | CMS Medicare Part B (IL Sports Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Bloomington, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 10 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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