Dr. Prashanth Rau, MD
119 Belmont St, Worcester, MA 01605 • +1-341-555-3845
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Worcester Percentiles
NPI #1336501311 • CBSA Regional • Gastroenterology
Dr. Prashanth Rau, MD (NPI #1336501311) practices Gastroenterology in Worcester, MA (01605) with sub-specialty concentration in 48 Active CMS HCPCS Codes, recording 649 annual CMS services across 266 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Worcester percentile) (-0.44σ vs MA state mean, 2.95th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Rau (averaging 2.4 services per beneficiary), 99214 (Established Gastroenterology, GERD & IBD Evaluation) represents 37% of tracked volume (240 encounters), paired with 45380 (162x).
Direct cash-pay transparency modeling sets Dr. Rau's baseline new-consult rate near $224.00 in Worcester, MA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 17-minute average reception wait).
From 119 Belmont St in Worcester (+1-341-555-3845), Dr. Rau, MD (27-year clinical track record) delivers 48 Active CMS HCPCS Codes care.
Compared against Worcester, MA Gastroenterology peers
649 annual services across 266 beneficiaries
Standard deviations from MA Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 240 | 12th | $222 – $304 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 162 | 12th | $535 – $733 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 136 | 12th | $444 – $609 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 65 | 12th | $596 – $816 |
| 99204 | New Patient Digestive & Hepatology Consultation | 45 | 12th | $313 – $429 |
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Dr. Prashanth Rau, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rau National Provider Identifier | NPI #1336501311 (MD) | CMS NPPES Registry (01605) |
| Dr. Rau Worcester CMS Volume Rank | 0.00th Pct (649 CMS svcs; Z -0.437σ) | CMS Medicare Part B (MA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Worcester, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 17 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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