Dr. Pranay Kumar Reddy Loka, MD
201 E Grover St, Shelby, NC 28150 • +1-285-555-8498
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Shelby Percentiles
NPI #1659627925 • CBSA Regional • Hospitalist
Operating out of Shelby, NC (201 E Grover St), Hospitalist clinician Dr. Pranay Kumar Reddy Loka, MD (accredited MD/DO training, 2004) maintains a mid-cohort balanced caseload (46.15th Shelby percentile) (41.36th NC percentile; Z-score -0.17σ across 792 documented services) with sub-specialty concentration in 8 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 201 E Grover St shows Dr. Pranay Kumar Reddy Loka's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 356x/yr, 46.15th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 206x/yr, $108–$149).
Uninsured and high-deductible cash patients visiting Dr. Pranay Kumar Reddy Loka in Shelby (28150) face an estimated $209.00 initial evaluation fee at 201 E Grover St (in-person clinic visits only; 16-minute average reception wait; bedside manner 4.68/5 from 12 verified reports).
Clinical background for Dr. Loka (MD, NPI #1659627925) includes accredited doctoral training (2004, 22 yrs in practice) and dedicated on-site consultations at 201 E Grover St.
Compared against Shelby, NC Hospitalist peers
792 annual services across 207 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 | 356 | 46.15th | $142 – $194 |
| 99213 | Established Preventive & Chronic Care Visit | 206 | 41.15th | $108 – $149 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 103 | 41.15th | $52 – $71 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 79 | 49.15th | $166 – $228 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 48 | 42.15th | $197 – $270 |
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Dr. Pranay Kumar Reddy Loka, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Loka National Provider Identifier | NPI #1659627925 (MD) | CMS NPPES Registry (28150) |
| Dr. Loka Shelby CMS Volume Rank | 46.15th Pct (792 CMS svcs; Z -0.174σ) | CMS Medicare Part B (NC Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Shelby, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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