Dr. Eugene Kovalik, MD
Dumc Box 3014, Durham, NC 27710 • +1-549-555-3130
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Durham Percentiles
NPI #1013975937 • CBSA Regional • Nephrology
Operating out of Durham, NC (Dumc Box 3014), Nephrology clinician Dr. Eugene Kovalik, MD (accredited MD/DO training, 2016) maintains a upper-quartile active clinical volume (68.75th Durham percentile) (62.02th NC percentile; Z-score -0.24σ across 2,096 documented services) with sub-specialty concentration in 21 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Eugene Kovalik (27710) place 99214 at the top of the practice ledger (1006 yearly units, 68.75th metro rank), rounded out by 90960 and 99215.
Cash-pay intake data for NPI 1013975937 (Dumc Box 3014, Durham) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 15-minute average reception wait and 4.87/5 biomarker openness.
Spanning 10 years of clinical practice following 2016 graduation from medical training, Dr. Eugene Kovalik integrates 21 Active CMS HCPCS Codes diagnostics for Durham metro patients.
Compared against Durham, NC Nephrology peers
2,096 annual services across 569 beneficiaries
Standard deviations from NC Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 1,006 | 68.75th | $180 – $246 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 461 | 73.75th | $359 – $492 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 377 | 69.75th | $262 – $359 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 252 | 73.75th | $247 – $338 |
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Dr. Eugene Kovalik, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kovalik National Provider Identifier | NPI #1013975937 (MD) | CMS NPPES Registry (27710) |
| Dr. Kovalik Durham CMS Volume Rank | 68.75th Pct (2,096 CMS svcs; Z -0.240σ) | CMS Medicare Part B (NC Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Durham, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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