Dr. Shivani Reddy, MD
120 N Eagle Creek DR Ste 500, Lexington, KY 40509 • +1-747-555-8674
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Lexington Percentiles
NPI #1326304890 • CBSA Regional • Ophthalmology
Operating out of Lexington, KY (120 N Eagle Creek DR Ste 500), Ophthalmology clinician Dr. Shivani Reddy, MD (accredited MD/DO training, 2013) maintains a upper-quartile active clinical volume (72.34th Lexington percentile) (84.35th KY percentile; Z-score +0.59σ across 17,436 documented services) with sub-specialty concentration in 39 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1326304890 highlights 1568 annual claims for 92014 (72.34th Lexington percentile; $263–$361 self-pay corridor) plus 1102 encounters under 92134 and 721 under 92083.
Direct cash-pay transparency modeling sets Dr. Reddy's baseline new-consult rate near $209.00 in Lexington, KY (cash-pay accepted, in-person clinic visits only, 9-minute average reception wait).
Spanning 13 years of clinical practice following 2013 graduation from medical training, Dr. Shivani Reddy integrates 39 Active CMS HCPCS Codes diagnostics for Lexington metro patients.
Compared against Lexington, KY Ophthalmology peers
17,436 annual services across 832 beneficiaries
Standard deviations from KY Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 1,568 | 72.34th | $263 – $361 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 1,102 | 67.34th | $145 – $199 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 721 | 67.34th | $174 – $238 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 509 | 74.34th | $317 – $434 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 339 | 70.34th | $1160 – $1590 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (39 HCPCS billing breadth) | 13,197 | 72.34th | $231 – $335 |
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Dr. Shivani Reddy, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Reddy National Provider Identifier | NPI #1326304890 (MD) | CMS NPPES Registry (40509) |
| Dr. Reddy Lexington CMS Volume Rank | 72.34th Pct (17,436 CMS svcs; Z +0.589σ) | CMS Medicare Part B (KY Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lexington, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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