Dr. Sanju Adhikari, MD
1130 Situs Ct Ste 190, Raleigh, NC 27606 • +1-498-555-3509
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Raleigh Percentiles
NPI #1225441066 • CBSA Regional • Psychiatry
Dr. Sanju Adhikari, MD (NPI #1225441066) practices Psychiatry in Raleigh, NC (27606) with sub-specialty concentration in 11 Active CMS HCPCS Codes, recording 919 annual CMS services across 123 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (11.11th Raleigh percentile) (-0.38σ vs NC state mean, 38.96th statewide percentile).
Procedural volume for Dr. Adhikari is led by HCPCS 99214 (Psychopharmacology Medication & Symptom Titration Visit — 404 annual services, $254–$348 GPCI cash estimate), followed by CPT 90833 (Add-On Focused Psychotherapy w/ Medical Evaluation (30 min), 257/yr) and CPT 99213 (Established Behavioral Health Maintenance Follow-Up, 147/yr).
Cash-pay intake data for NPI 1225441066 (1130 Situs Ct Ste 190, Raleigh) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 11-minute average reception wait and 4.77/5 biomarker openness.
Spanning 21 years of clinical practice following 2005 graduation from medical training, Dr. Sanju Adhikari integrates 11 Active CMS HCPCS Codes diagnostics for Raleigh metro patients.
Compared against Raleigh, NC Psychiatry peers
919 annual services across 123 beneficiaries
Standard deviations from NC Psychiatry mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Psychopharmacology Medication & Symptom Titration Visit | 404 | 12th | $254 – $348 |
| 90833 | Add-On Focused Psychotherapy w/ Medical Evaluation (30 min) | 257 | 13.11th | $183 – $251 |
| 99213 | Established Behavioral Health Maintenance Follow-Up | 147 | 13.11th | $194 – $266 |
| 90792 | Comprehensive Psychiatric Diagnostic & Medical Evaluation | 110 | 12th | $398 – $546 |
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Dr. Sanju Adhikari, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Adhikari National Provider Identifier | NPI #1225441066 (MD) | CMS NPPES Registry (27606) |
| Dr. Adhikari Raleigh CMS Volume Rank | 11.11th Pct (919 CMS svcs; Z -0.380σ) | CMS Medicare Part B (NC Psychiatry) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Raleigh, 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 | 4.72/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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