Dr. Sumesh Khanal, MD
1425 Portland Ave, Rochester, NY 14621 • +1-247-555-8650
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Rochester Percentiles
NPI #1053807198 • CBSA Regional • Internal Medicine
Operating out of Rochester, NY (1425 Portland Ave), Internal Medicine clinician Dr. Sumesh Khanal, MD (accredited MD/DO training, 2014) maintains a focused low-volume boutique caseload (17.14th Rochester percentile) (10.29th NY percentile; Z-score -0.21σ across 742 documented services) with sub-specialty concentration in 13 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1053807198 highlights 334 annual claims for 99214 (17.14th Rochester percentile; $196–$269 self-pay corridor) plus 193 encounters under 99213 and 96 under 93000.
At 1425 Portland Ave (14621), Dr. Sumesh Khanal, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$232.00 per new consult (4.62/5 bedside rating).
From 1425 Portland Ave in Rochester (+1-247-555-8650), Dr. Khanal, MD (12-year clinical track record) delivers 13 Active CMS HCPCS Codes care.
Compared against Rochester, NY Internal Medicine peers
742 annual services across 277 beneficiaries
Standard deviations from NY Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 334 | 17.14th | $196 – $269 |
| 99213 | Established Preventive & Chronic Care Visit | 193 | 16.14th | $150 – $206 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 96 | 14.14th | $72 – $98 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 74 | 13.14th | $230 – $316 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 45 | 19.14th | $273 – $374 |
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Dr. Sumesh Khanal, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Khanal National Provider Identifier | NPI #1053807198 (MD) | CMS NPPES Registry (14621) |
| Dr. Khanal Rochester CMS Volume Rank | 17.14th Pct (742 CMS svcs; Z -0.211σ) | CMS Medicare Part B (NY Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Rochester, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 11 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.62/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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