Dr. Prajeena Mainali, DO
203 Plymouth Ave Ste 701, Fall River, MA 02721 • +1-487-555-8788
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Fall River Percentiles
NPI #1053705160 • CBSA Regional • Internal Medicine
Dr. Prajeena Mainali, DO (NPI #1053705160) practices Internal Medicine in Fall River, MA (02721) with sub-specialty concentration in 80 Active CMS HCPCS Codes, recording 2,588 annual CMS services across 140 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (60th Fall River percentile) (+0.05σ vs MA state mean, 78.39th statewide percentile).
Procedural volume for Dr. Mainali is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 1150 annual services, $66–$90 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 665/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 332/yr).
For out-of-network patients contacting +1-487-555-8788, Dr. Mainali's practice posts a $224.00 GPCI self-pay consult estimate ($224.00 patient-logged median, 4.63/5 composite reality score over 22 submissions).
Spanning 24 years of clinical practice following 2002 graduation from medical training, Dr. Prajeena Mainali integrates 80 Active CMS HCPCS Codes diagnostics for Fall River metro patients.
Compared against Fall River, MA Internal Medicine peers
2,588 annual services across 140 beneficiaries
Standard deviations from MA Internal 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 | 1,150 | 60th | $66 – $90 |
| 99213 | Established Preventive & Chronic Care Visit | 665 | 56th | $50 – $69 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 332 | 62th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 256 | 64th | $77 – $106 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 153 | 65th | $91 – $125 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (80 HCPCS billing breadth) | 32 | 60th | $59 – $86 |
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Dr. Prajeena Mainali, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mainali National Provider Identifier | NPI #1053705160 (DO) | CMS NPPES Registry (02721) |
| Dr. Mainali Fall River CMS Volume Rank | 60.00th Pct (2,588 CMS svcs; Z +0.048σ) | CMS Medicare Part B (MA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fall River, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 18 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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