Dr. Pratap Challa, MD
2351 Erwin Rd, Durham, NC 27705 • +1-567-555-4070
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Durham Percentiles
NPI #1982794137 • CBSA Regional • Ophthalmology
Statistical peer benchmarking across NC Ophthalmology providers positions Dr. Pratap Challa, MD in Durham at -0.13σ (73.81th city percentile / 71.53th state percentile, 845 Medicare beneficiaries), with clinical focus spanning 54 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Challa (averaging 5.8 services per beneficiary), 92014 (Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam) represents 37% of tracked volume (1829 encounters), paired with 92134 (1285x).
Cash-pay intake data for NPI 1982794137 (2351 Erwin Rd, Durham) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 19-minute average reception wait and 4.94/5 biomarker openness.
From 2351 Erwin Rd in Durham (+1-567-555-4070), Dr. Challa, MD (24-year clinical track record) delivers 54 Active CMS HCPCS Codes care.
Compared against Durham, NC Ophthalmology peers
4,942 annual services across 845 beneficiaries
Standard deviations from NC Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 1,829 | 73.81th | $118 – $162 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 1,285 | 77.81th | $65 – $89 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 840 | 72.81th | $78 – $107 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 593 | 72.81th | $142 – $195 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 395 | 76.81th | $521 – $714 |
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Dr. Pratap Challa, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Challa National Provider Identifier | NPI #1982794137 (MD) | CMS NPPES Registry (27705) |
| Dr. Challa Durham CMS Volume Rank | 73.81th Pct (4,942 CMS svcs; Z -0.129σ) | CMS Medicare Part B (NC Ophthalmology) |
| 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 • 19 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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