Dr. Abdel Abu Shamat, MD
333 DR Michael Debakey DR, Suite 140, Lake Charles, LA 70601 • +1-215-555-6841
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Lake Charles Percentiles
NPI #1528053824 • CBSA Regional • Nephrology
Operating out of Lake Charles, LA (333 DR Michael Debakey DR, Suite 140), Nephrology clinician Dr. Abdel Abu Shamat, MD (accredited MD/DO training, 2005) maintains a mid-cohort balanced caseload (40th Lake Charles percentile) (83.33th LA percentile; Z-score +0.77σ across 3,247 documented services) with sub-specialty concentration in 24 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1528053824 highlights 1559 annual claims for 99214 (40th Lake Charles percentile; $213–$291 self-pay corridor) plus 714 encounters under 90960 and 584 under 99215.
Self-pay new patient consultations with Dr. Abu Shamat (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 12-minute average reception wait, and a 4.58/5 modern protocol openness score across 16 patient logs.
NPI registry verification (#1528053824) confirms Dr. Abdel Abu Shamat's MD standing serving CBSA 70601 with a 4.89/5 patient scorecard.
Compared against Lake Charles, LA Nephrology peers
3,247 annual services across 790 beneficiaries
Standard deviations from LA Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 1,559 | 40th | $213 – $291 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 714 | 37th | $425 – $583 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 584 | 37th | $310 – $425 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 390 | 40th | $292 – $401 |
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Dr. Abdel Abu Shamat, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Abu Shamat National Provider Identifier | NPI #1528053824 (MD) | CMS NPPES Registry (70601) |
| Dr. Abu Shamat Lake Charles CMS Volume Rank | 40.00th Pct (3,247 CMS svcs; Z +0.773σ) | CMS Medicare Part B (LA Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lake Charles, LA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.58/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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