Dr. Nilamadhab Mishra, MD
275 Executive Park Blvd Ste 601, Winston Salem, NC 27103 • +1-282-555-6290
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Winston Salem Percentiles
NPI #1104801232 • CBSA Regional • Rheumatology
Statistical peer benchmarking across NC Rheumatology providers positions Dr. Nilamadhab Mishra, MD in Winston Salem at -0.61σ (85.71th city percentile / 32.2th state percentile, 123 Medicare beneficiaries), with clinical focus spanning 17 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1104801232 highlights 249 annual claims for 99214 (85.71th Winston Salem percentile; $73–$101 self-pay corridor) plus 114 encounters under 20610 and 81 under 96413.
Direct cash-pay transparency modeling sets Dr. Mishra's baseline new-consult rate near $209.00 in Winston Salem, NC (cash-pay accepted, in-person clinic visits only, 16-minute average reception wait).
Clinical background for Dr. Mishra (MD, NPI #1104801232) includes accredited doctoral training (1998, 28 yrs in practice) and dedicated on-site consultations at 275 Executive Park Blvd Ste 601.
Compared against Winston Salem, NC Rheumatology peers
27,126 annual services across 123 beneficiaries
Standard deviations from NC Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 249 | 85.71th | $73 – $101 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 114 | 80.71th | $58 – $80 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 81 | 90.71th | $101 – $138 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 54 | 85.71th | $76 – $105 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 43 | 80.71th | $101 – $138 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (17 HCPCS billing breadth) | 26,584 | 85.71th | $63 – $91 |
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Dr. Nilamadhab Mishra, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mishra National Provider Identifier | NPI #1104801232 (MD) | CMS NPPES Registry (27103) |
| Dr. Mishra Winston Salem CMS Volume Rank | 85.71th Pct (27,126 CMS svcs; Z -0.613σ) | CMS Medicare Part B (NC Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Winston Salem, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.42/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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