Dr. Tilak Pokharel, MD
1035c 7 Lakes DR, West End, NC 27376 • +1-776-555-3464
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & West End Percentiles
NPI #1255737045 • CBSA Regional • Family Practice
Dr. Tilak Pokharel, MD (NPI #1255737045) practices Family Practice in West End, NC (27376) with sub-specialty concentration in 43 Active CMS HCPCS Codes, recording 2,245 annual CMS services across 316 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in West End) (-0.08σ vs NC state mean, 66.69th statewide percentile).
Dr. Pokharel's longitudinal care intensity (7.1 billed units per patient across 316 individuals) centers on 99214 (882 annual units) and 99213 ($83–$114 cash range).
Uninsured and high-deductible cash patients visiting Dr. Tilak Pokharel in West End (27376) face an estimated $209.00 initial evaluation fee at 1035c 7 Lakes DR (in-person clinic visits only; 19-minute average reception wait; bedside manner 4.94/5 from 9 verified reports).
Spanning 22 years of clinical practice following 2004 graduation from medical training, Dr. Tilak Pokharel integrates 43 Active CMS HCPCS Codes diagnostics for West End metro patients.
Top 10% Family Practice volume leader in West End, NC
2,245 annual services across 316 beneficiaries
Standard deviations from NC Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 882 | 99th | $109 – $149 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 651 | 95th | $83 – $114 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 252 | 99.5th | $125 – $171 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 189 | 99.5th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 126 | 96th | $149 – $205 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (43 HCPCS billing breadth) | 146 | 99th | $98 – $142 |
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Dr. Tilak Pokharel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pokharel National Provider Identifier | NPI #1255737045 (MD) | CMS NPPES Registry (27376) |
| Dr. Pokharel West End CMS Volume Rank | 99.00th Pct (2,245 CMS svcs; Z -0.081σ) | CMS Medicare Part B (NC Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (West End, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.94/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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