Dr. Ashwani Kumar, MD
200 Clinic DR, Madisonville, KY 42431 • +1-851-555-8270
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Madisonville Percentiles
NPI #1851528509 • CBSA Regional • Family Practice
Within the Madisonville, KY (CBSA local) Family Practice cohort, Dr. Ashwani Kumar, MD with sub-specialty concentration in 17 Active CMS HCPCS Codes ranks at the 70th municipal percentile and 83.03th KY percentile (+0.34σ Z-score) based on 4,035 billed procedures for 927 patients.
Medicare Part B line-item claims for Dr. Ashwani Kumar (42431) place 99214 at the top of the practice ledger (1695 yearly units, 70th metro rank), rounded out by 99213 and G0439.
Self-pay new patient consultations with Dr. Kumar (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 11-minute average reception wait, and a 4.93/5 modern protocol openness score across 19 patient logs.
Credentialed as an MD specialist with 12 years post-graduation experience since completing medical school at an LCME/COCA institution (2014), Dr. Kumar coordinates 17 Active CMS HCPCS Codes workups from 200 Clinic DR (+1-851-555-8270).
Compared against Madisonville, KY Family Practice peers
4,035 annual services across 927 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 | 1,695 | 70th | $167 – $229 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 1,251 | 71th | $128 – $175 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 484 | 75th | $191 – $262 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 363 | 69th | $36 – $51 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 242 | 75th | $229 – $314 |
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Dr. Ashwani Kumar, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kumar National Provider Identifier | NPI #1851528509 (MD) | CMS NPPES Registry (42431) |
| Dr. Kumar Madisonville CMS Volume Rank | 70.00th Pct (4,035 CMS svcs; Z +0.342σ) | CMS Medicare Part B (KY Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Madisonville, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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