Dr. Nicola Gathaiya, MD
960 E. Walnut Lawn, Suite 201, Springfield, MO 65807 • +1-754-555-5281
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Springfield Percentiles
NPI #1154513752 • CBSA Regional • Endocrinology
Statistical peer benchmarking across MO Endocrinology providers positions Dr. Nicola Gathaiya, MD in Springfield at -0.25σ (57.14th city percentile / 58.43th state percentile, 486 Medicare beneficiaries), with clinical focus spanning 58 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Gathaiya (averaging 5.6 services per beneficiary), 99214 (Complex Endocrine, Thyroid & Metabolic Biomarker Management) represents 28% of tracked volume (769 encounters), paired with 95251 (384x).
Self-pay new patient consultations with Dr. Gathaiya (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 17-minute average reception wait, and a 4.57/5 modern protocol openness score across 7 patient logs.
Spanning 18 years of clinical practice following 2008 graduation from medical training, Dr. Nicola Gathaiya integrates 58 Active CMS HCPCS Codes diagnostics for Springfield metro patients.
Compared against Springfield, MO Endocrinology peers
2,722 annual services across 486 beneficiaries
Standard deviations from MO Endocrinology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Complex Endocrine, Thyroid & Metabolic Biomarker Management | 769 | 57.14th | $68 – $93 |
| 95251 | Ambulatory Continuous Glucose Monitoring (CGM) Data Analysis | 384 | 62.14th | $43 – $58 |
| 76536 | High-Resolution Thyroid & Parathyroid Neck Ultrasound | 280 | 56.14th | $82 – $113 |
| 99204 | Comprehensive New Patient Endocrine & Hormone Workup | 210 | 54.14th | $94 – $128 |
| 99215 | High-Complexity Multi-Hormone & Insulin Pump Titration | 105 | 57.14th | $105 – $144 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (58 HCPCS billing breadth) | 975 | 57.14th | $59 – $86 |
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Dr. Nicola Gathaiya, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gathaiya National Provider Identifier | NPI #1154513752 (MD) | CMS NPPES Registry (65807) |
| Dr. Gathaiya Springfield CMS Volume Rank | 57.14th Pct (2,722 CMS svcs; Z -0.251σ) | CMS Medicare Part B (MO Endocrinology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Springfield, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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