Dr. Shaji Kumar, MD
200 1st St Sw, Rochester, MN 55905 • +1-236-555-9967
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Rochester Percentiles
NPI #1568434090 • CBSA Regional • Hematology
Statistical peer benchmarking across MN Hematology providers positions Dr. Shaji Kumar, MD in Rochester at -1.28σ (6.67th city percentile / 6.67th state percentile, 123 Medicare beneficiaries), with clinical focus spanning 36 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Kumar (averaging 45.6 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 2% of tracked volume (102 encounters), paired with 99213 (59x).
Direct cash-pay transparency modeling sets Dr. Kumar's baseline new-consult rate near $209.00 in Rochester, MN (cash-pay accepted, hybrid in-clinic and telehealth video consults, 16-minute average reception wait).
Clinical background for Dr. Kumar (MD, NPI #1568434090) includes accredited doctoral training (2002, 24 yrs in practice) and virtual + in-office availability across MN.
Compared against Rochester, MN Hematology peers
5,608 annual services across 123 beneficiaries
Standard deviations from MN Hematology 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 | 102 | 12th | $43 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 59 | 12th | $33 – $48 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 30 | 12th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 23 | 12th | $51 – $70 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 14 | 12th | $60 – $83 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (36 HCPCS billing breadth) | 5,381 | 6.67th | $45 – $65 |
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Dr. Shaji Kumar, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kumar National Provider Identifier | NPI #1568434090 (MD) | CMS NPPES Registry (55905) |
| Dr. Kumar Rochester CMS Volume Rank | 6.67th Pct (5,608 CMS svcs; Z -1.278σ) | CMS Medicare Part B (MN Hematology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Rochester, MN) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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