Dr. Suman Lamsal, MD
606 Main St, Bayboro, NC 28515 • +1-416-555-2691
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Bayboro Percentiles
NPI #1235179698 • CBSA Regional • Internal Medicine
Dr. Suman Lamsal, MD (NPI #1235179698) practices Internal Medicine in Bayboro, NC (28515) with sub-specialty concentration in 109 Active CMS HCPCS Codes, recording 10,057 annual CMS services across 486 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Bayboro percentile) (+0.59σ vs NC state mean, 92.5th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Lamsal (averaging 20.7 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 42% of tracked volume (4247 encounters), paired with 99213 (2454x).
For out-of-network patients contacting +1-416-555-2691, Dr. Lamsal's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.77/5 composite reality score over 8 submissions).
Clinical background for Dr. Lamsal (MD, NPI #1235179698) includes accredited doctoral training (2009, 17 yrs in practice) and virtual + in-office availability across NC.
Compared against Bayboro, NC Internal Medicine peers
10,057 annual services across 486 beneficiaries
Standard deviations from NC 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 | 4,247 | 50th | $52 – $71 |
| 99213 | Established Preventive & Chronic Care Visit | 2,454 | 51th | $40 – $55 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 1,227 | 48th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 944 | 54th | $61 – $83 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 566 | 50th | $72 – $99 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (109 HCPCS billing breadth) | 620 | 50th | $47 – $68 |
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Dr. Suman Lamsal, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lamsal National Provider Identifier | NPI #1235179698 (MD) | CMS NPPES Registry (28515) |
| Dr. Lamsal Bayboro CMS Volume Rank | 50.00th Pct (10,057 CMS svcs; Z +0.588σ) | CMS Medicare Part B (NC Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Bayboro, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.42/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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