Dr. Sapna Prabhakaran, MD
1700 University Ave W, Saint Paul, MN 55104 • +1-295-555-8128
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Saint Paul Percentiles
NPI #1992938534 • CBSA Regional • Pediatric Medicine
Dr. Sapna Prabhakaran, MD (NPI #1992938534) practices Pediatric Medicine in Saint Paul, MN (55104) with sub-specialty concentration in 216 Active CMS HCPCS Codes, recording 4,908 annual CMS services across 529 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (66.67th Saint Paul percentile) (+0.97σ vs MN state mean, 77.78th statewide percentile).
Dr. Prabhakaran's longitudinal care intensity (9.3 billed units per patient across 529 individuals) centers on 99214 (1660 annual units) and 99213 ($33–$48 cash range).
Self-pay new patient consultations with Dr. Prabhakaran (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 14-minute average reception wait, and a 4.70/5 modern protocol openness score across 18 patient logs.
NPI registry verification (#1992938534) confirms Dr. Sapna Prabhakaran's MD standing serving CBSA 55104 with a 4.83/5 patient scorecard.
Compared against Saint Paul, MN Pediatric Medicine peers
4,908 annual services across 529 beneficiaries
Standard deviations from MN Pediatric 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 | 1,660 | 66.67th | $43 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 959 | 65.67th | $33 – $48 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 479 | 64.67th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 369 | 64.67th | $51 – $70 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 221 | 67.67th | $60 – $83 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (216 HCPCS billing breadth) | 1,220 | 66.67th | $45 – $65 |
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Dr. Sapna Prabhakaran, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Prabhakaran National Provider Identifier | NPI #1992938534 (MD) | CMS NPPES Registry (55104) |
| Dr. Prabhakaran Saint Paul CMS Volume Rank | 66.67th Pct (4,908 CMS svcs; Z +0.975σ) | CMS Medicare Part B (MN Pediatric Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Saint Paul, MN) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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