Dr. Sesha Reddy, MD
600 Hospital DR, Monroe, NC 28112 • +1-373-555-6888
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Monroe Percentiles
NPI #1346405974 • CBSA Regional • Hospitalist
Dr. Sesha Reddy, MD (NPI #1346405974) practices Hospitalist in Monroe, NC (28112) with sub-specialty concentration in 10 Active CMS HCPCS Codes, recording 722 annual CMS services across 267 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (10th Monroe percentile) (-0.22σ vs NC state mean, 26.1th statewide percentile).
Fee-schedule auditing of NPI 1346405974 highlights 325 annual claims for 99214 (12th Monroe percentile; $181–$248 self-pay corridor) plus 188 encounters under 99213 and 94 under 93000.
For out-of-network patients contacting +1-373-555-6888, Dr. Reddy's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.58/5 composite reality score over 25 submissions).
Clinical background for Dr. Reddy (MD, NPI #1346405974) includes accredited doctoral training (2011, 15 yrs in practice) and virtual + in-office availability across NC.
Compared against Monroe, NC Hospitalist peers
722 annual services across 267 beneficiaries
Standard deviations from NC Hospitalist 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 | 325 | 12th | $181 – $248 |
| 99213 | Established Preventive & Chronic Care Visit | 188 | 13th | $138 – $190 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 94 | 14th | $66 – $90 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 72 | 12th | $212 – $291 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 43 | 14th | $251 – $345 |
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Dr. Sesha Reddy, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Reddy National Provider Identifier | NPI #1346405974 (MD) | CMS NPPES Registry (28112) |
| Dr. Reddy Monroe CMS Volume Rank | 10.00th Pct (722 CMS svcs; Z -0.218σ) | CMS Medicare Part B (NC Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Monroe, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.48/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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