Dr. Niranjan Shrestha, MD
1050 M L King DR Ste 111, Centralia, IL 62801 • +1-978-555-6277
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Centralia Percentiles
NPI #1508031758 • CBSA Regional • Family Practice
Dr. Niranjan Shrestha, MD (NPI #1508031758) practices Family Practice in Centralia, IL (62801) with sub-specialty concentration in 14 Active CMS HCPCS Codes, recording 1,432 annual CMS services across 245 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Centralia percentile) (-0.09σ vs IL state mean, 52.74th statewide percentile).
Fee-schedule auditing of NPI 1508031758 highlights 601 annual claims for 99214 (50th Centralia percentile; $160–$220 self-pay corridor) plus 444 encounters under 99213 and 172 under G0439.
Cash-pay intake data for NPI 1508031758 (1050 M L King DR Ste 111, Centralia) indicates $218.00 typical out-of-pocket visit spend against a $218.00 locality benchmark, paired with 15-minute average reception wait and 4.41/5 biomarker openness.
Credentialed as an MD specialist with 28 years post-graduation experience since completing medical school at an LCME/COCA institution (1998), Dr. Shrestha coordinates 14 Active CMS HCPCS Codes workups from 1050 M L King DR Ste 111 (+1-978-555-6277).
Compared against Centralia, IL Family Practice peers
1,432 annual services across 245 beneficiaries
Standard deviations from IL Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 601 | 50th | $160 – $220 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 444 | 45th | $123 – $168 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 172 | 46th | $184 – $252 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 129 | 47th | $35 – $50 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 86 | 46th | $221 – $302 |
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Dr. Niranjan Shrestha, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shrestha National Provider Identifier | NPI #1508031758 (MD) | CMS NPPES Registry (62801) |
| Dr. Shrestha Centralia CMS Volume Rank | 50.00th Pct (1,432 CMS svcs; Z -0.093σ) | CMS Medicare Part B (IL Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Centralia, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 15 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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