Dr. Balaji Nithianandam, MD
1 Medical Village DR, Edgewood, KY 41017 • +1-778-555-9735
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Edgewood Percentiles
NPI #1386022390 • CBSA Regional • Emergency Medicine
Statistical peer benchmarking across KY Emergency Medicine providers positions Dr. Balaji Nithianandam, MD in Edgewood at -0.43σ (40th city percentile / 29.01th state percentile, 478 Medicare beneficiaries), with clinical focus spanning 23 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 1 Medical Village DR shows Dr. Balaji Nithianandam's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 341x/yr, 40th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 197x/yr, $130–$179).
Direct cash-pay transparency modeling sets Dr. Nithianandam's baseline new-consult rate near $209.00 in Edgewood, KY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 13-minute average reception wait).
Clinical background for Dr. Nithianandam (MD, NPI #1386022390) includes accredited doctoral training (2003, 23 yrs in practice) and virtual + in-office availability across KY.
Compared against Edgewood, KY Emergency Medicine peers
757 annual services across 478 beneficiaries
Standard deviations from KY Emergency 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 | 341 | 40th | $170 – $234 |
| 99213 | Established Preventive & Chronic Care Visit | 197 | 35th | $130 – $179 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 98 | 37th | $62 – $85 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 76 | 43th | $200 – $274 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 45 | 42th | $237 – $325 |
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Dr. Balaji Nithianandam, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nithianandam National Provider Identifier | NPI #1386022390 (MD) | CMS NPPES Registry (41017) |
| Dr. Nithianandam Edgewood CMS Volume Rank | 40.00th Pct (757 CMS svcs; Z -0.431σ) | CMS Medicare Part B (KY Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Edgewood, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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