Dr. Nirisha Kalakada, MD
1411 Greenway Ct, Sanford, NC 27330 • +1-646-555-9202
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Sanford Percentiles
NPI #1760647945 • CBSA Regional • Internal Medicine
Operating out of Sanford, NC (1411 Greenway Ct), Internal Medicine clinician Dr. Nirisha Kalakada, MD (accredited MD/DO training, 2015) maintains a upper-quartile active clinical volume (75th Sanford percentile) (77.49th NC percentile; Z-score -0.05σ across 3,738 documented services) with sub-specialty concentration in 124 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1760647945 highlights 1435 annual claims for 99214 (75th Sanford percentile; $61–$83 self-pay corridor) plus 829 encounters under 99213 and 415 under 93000.
For out-of-network patients contacting +1-646-555-9202, Dr. Kalakada's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.64/5 composite reality score over 11 submissions).
Clinical background for Dr. Kalakada (MD, NPI #1760647945) includes accredited doctoral training (2015, 11 yrs in practice) and virtual + in-office availability across NC.
Compared against Sanford, NC Internal Medicine peers
3,738 annual services across 376 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 | 1,435 | 75th | $61 – $83 |
| 99213 | Established Preventive & Chronic Care Visit | 829 | 71th | $46 – $63 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 415 | 75th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 319 | 77th | $71 – $97 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 191 | 70th | $84 – $115 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (124 HCPCS billing breadth) | 549 | 75th | $55 – $80 |
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Dr. Nirisha Kalakada, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kalakada National Provider Identifier | NPI #1760647945 (MD) | CMS NPPES Registry (27330) |
| Dr. Kalakada Sanford CMS Volume Rank | 75.00th Pct (3,738 CMS svcs; Z -0.046σ) | CMS Medicare Part B (NC Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sanford, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.67/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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