Dr. Shivan Kulasingham, MD
1027 Washington Ave, Detroit Lakes, MN 56501 • +1-539-555-1903
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Detroit Lakes Percentiles
NPI #1558318428 • CBSA Regional • Internal Medicine
Anchored in Detroit Lakes, MN 56501, Dr. Shivan Kulasingham, MD (NPI 1558318428) logged 2,729 annual procedures (focused low-volume boutique caseload (0th Detroit Lakes percentile), 78.75th MN percentile, -0.07σ) with sub-specialty concentration in 22 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1558318428 highlights 1228 annual claims for 99214 (12th Detroit Lakes percentile; $72–$99 self-pay corridor) plus 710 encounters under 99213 and 355 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Shivan Kulasingham in Detroit Lakes (56501) face an estimated $209.00 initial evaluation fee at 1027 Washington Ave (hybrid in-clinic and telehealth video consults; 18-minute average reception wait; bedside manner 4.78/5 from 26 verified reports).
Patients evaluating Dr. Shivan Kulasingham in ZIP 56501 note 29 years of post-doctoral tenure (null, 1997) alongside 2.3 annual CMS procedures per patient.
Compared against Detroit Lakes, MN Internal Medicine peers
2,729 annual services across 1,165 beneficiaries
Standard deviations from MN 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 | 1,228 | 12th | $72 – $99 |
| 99213 | Established Preventive & Chronic Care Visit | 710 | 12th | $55 – $76 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 355 | 12th | $26 – $41 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 273 | 12th | $85 – $116 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 164 | 12th | $101 – $138 |
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Dr. Shivan Kulasingham, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kulasingham National Provider Identifier | NPI #1558318428 (MD) | CMS NPPES Registry (56501) |
| Dr. Kulasingham Detroit Lakes CMS Volume Rank | 0.00th Pct (2,729 CMS svcs; Z -0.072σ) | CMS Medicare Part B (MN Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Detroit Lakes, MN) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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