Dr. Anesh Badiwala, MD
913 N Dixie Ave, Elizabethtown, KY 42701 • +1-788-555-1168
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Elizabethtown Percentiles
NPI #1538410170 • CBSA Regional • Family Practice
Within the Elizabethtown, KY (CBSA local) Family Practice cohort, Dr. Anesh Badiwala, MD with sub-specialty concentration in 10 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 51.76th KY percentile (-0.32σ Z-score) based on 1,467 billed procedures for 417 patients.
Fee-schedule auditing of NPI 1538410170 highlights 616 annual claims for 99214 (12th Elizabethtown percentile; $138–$190 self-pay corridor) plus 455 encounters under 99213 and 176 under G0439.
For out-of-network patients contacting +1-788-555-1168, Dr. Badiwala's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.85/5 composite reality score over 20 submissions).
Credentialed as an MD specialist with 29 years post-graduation experience since completing medical school at an LCME/COCA institution (1997), Dr. Badiwala coordinates 10 Active CMS HCPCS Codes workups from 913 N Dixie Ave (+1-788-555-1168).
Compared against Elizabethtown, KY Family Practice peers
1,467 annual services across 417 beneficiaries
Standard deviations from KY 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 | 616 | 12th | $138 – $190 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 455 | 12th | $106 – $145 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 176 | 12th | $159 – $218 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 132 | 12th | $30 – $45 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 88 | 12th | $190 – $261 |
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Dr. Anesh Badiwala, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Badiwala National Provider Identifier | NPI #1538410170 (MD) | CMS NPPES Registry (42701) |
| Dr. Badiwala Elizabethtown CMS Volume Rank | 0.00th Pct (1,467 CMS svcs; Z -0.324σ) | CMS Medicare Part B (KY Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Elizabethtown, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.43/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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