Dr. Neelja Kumar, MD
3411 Wayne Ave, Bronx, NY 10467 • +1-281-555-4125
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Bronx Percentiles
NPI #1396911236 • CBSA Regional • Nephrology
Statistical peer benchmarking across NY Nephrology providers positions Dr. Neelja Kumar, MD in Bronx at -0.24σ (47.62th city percentile / 34.89th state percentile, 213 Medicare beneficiaries), with clinical focus spanning 18 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1396911236 highlights 537 annual claims for 99214 (47.62th Bronx percentile; $175–$240 self-pay corridor) plus 246 encounters under 90960 and 201 under 99215.
For out-of-network patients contacting +1-281-555-4125, Dr. Kumar's practice posts a $232.00 GPCI self-pay consult estimate ($232.00 patient-logged median, 4.56/5 composite reality score over 11 submissions).
NPI registry verification (#1396911236) confirms Dr. Neelja Kumar's MD standing serving CBSA 10467 with a 4.56/5 patient scorecard.
Compared against Bronx, NY Nephrology peers
1,119 annual services across 213 beneficiaries
Standard deviations from NY Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 537 | 47.62th | $175 – $240 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 246 | 44.62th | $351 – $481 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 201 | 52.62th | $256 – $350 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 134 | 46.62th | $241 – $330 |
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Dr. Neelja Kumar, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kumar National Provider Identifier | NPI #1396911236 (MD) | CMS NPPES Registry (10467) |
| Dr. Kumar Bronx CMS Volume Rank | 47.62th Pct (1,119 CMS svcs; Z -0.245σ) | CMS Medicare Part B (NY Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Bronx, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 13 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.61/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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