Dr. Rupesh Tarwala, MD
130 E 67th St, Ground Level, New York, NY 10065 • +1-535-555-5402
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & New York Percentiles
NPI #1801186515 • CBSA 35620 • Orthopedic Surgery
Anchored in New York, NY 10065, Dr. Rupesh Tarwala, MD (NPI 1801186515) logged 1,790 annual procedures (mid-cohort balanced caseload (53.42th New York percentile), 39.35th NY percentile, -0.37σ) with sub-specialty concentration in 67 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1801186515 highlights 537 annual claims for 99213 (53.42th New York percentile; $132–$180 self-pay corridor) plus 403 encounters under 20610 and 283 under 73562.
Direct cash-pay transparency modeling sets Dr. Tarwala's baseline new-consult rate near $239.00 in New York, NY (cash-pay accepted, in-person clinic visits only, 19-minute average reception wait).
Clinical background for Dr. Tarwala (MD, NPI #1801186515) includes accredited doctoral training (2016, 10 yrs in practice) and dedicated on-site consultations at 130 E 67th St, Ground Level.
Compared against New York, NY Orthopedic Surgery peers
1,790 annual services across 322 beneficiaries
Standard deviations from NY Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 537 | 53.42th | $132 – $180 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 403 | 53.42th | $140 – $192 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 283 | 56.42th | $79 – $108 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 164 | 58.42th | $189 – $259 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 104 | 56.42th | $1216 – $1667 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (67 HCPCS billing breadth) | 299 | 53.42th | $148 – $215 |
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Dr. Rupesh Tarwala, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Tarwala National Provider Identifier | NPI #1801186515 (MD) | CMS NPPES Registry (10065) |
| Dr. Tarwala New York CMS Volume Rank | 53.42th Pct (1,790 CMS svcs; Z -0.372σ) | CMS Medicare Part B (NY Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (New York, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 19 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.58/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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