Dr. Kiran Rao, MD
532 Lafayette Rd, Suite 100, Sparta, NJ 07871 • +1-746-555-2384
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Sparta Percentiles
NPI #1487801403 • CBSA Regional • Gastroenterology
Operating out of Sparta, NJ (532 Lafayette Rd, Suite 100), Gastroenterology clinician Dr. Kiran Rao, MD (accredited MD/DO training, 2008) maintains a focused low-volume boutique caseload (0th Sparta percentile) (73.6th NJ percentile; Z-score -0.13σ across 2,036 documented services) with sub-specialty concentration in 39 Active CMS HCPCS Codes.
Procedural volume for Dr. Rao is led by HCPCS 99214 (Established Gastroenterology, GERD & IBD Evaluation — 753 annual services, $204–$279 GPCI cash estimate), followed by CPT 45380 (Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy, 509/yr) and CPT 43239 (Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy, 428/yr).
Cash-pay intake data for NPI 1487801403 (532 Lafayette Rd, Suite 100, Sparta) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 16-minute average reception wait and 4.93/5 biomarker openness.
Clinical background for Dr. Rao (MD, NPI #1487801403) includes accredited doctoral training (2008, 18 yrs in practice) and virtual + in-office availability across NJ.
Compared against Sparta, NJ Gastroenterology peers
2,036 annual services across 830 beneficiaries
Standard deviations from NJ Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 753 | 12th | $204 – $279 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 509 | 12th | $491 – $673 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 428 | 12th | $408 – $558 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 204 | 12th | $546 – $749 |
| 99204 | New Patient Digestive & Hepatology Consultation | 143 | 12th | $287 – $393 |
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Dr. Kiran Rao, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rao National Provider Identifier | NPI #1487801403 (MD) | CMS NPPES Registry (07871) |
| Dr. Rao Sparta CMS Volume Rank | 0.00th Pct (2,036 CMS svcs; Z -0.126σ) | CMS Medicare Part B (NJ Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sparta, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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