Dr. Karina Appel, MD
855 Montauk Hwy, Shirley, NY 11967 • +1-668-555-1185
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Shirley Percentiles
NPI #1184250151 • CBSA Regional • Internal Medicine
Dr. Karina Appel, MD (NPI #1184250151) practices Internal Medicine in Shirley, NY (11967) with sub-specialty concentration in 39 Active CMS HCPCS Codes, recording 639 annual CMS services across 197 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Shirley percentile) (-0.22σ vs NY state mean, 1.18th statewide percentile).
Procedural volume for Dr. Appel is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 277 annual services, $117–$160 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 160/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 80/yr).
Self-pay new patient consultations with Dr. Appel (CPT 99204 GPCI-adjusted benchmark) estimate around $232.00 (community reported average: $232.00) with hybrid in-clinic and telehealth video consults, 22-minute average reception wait, and a 4.65/5 modern protocol openness score across 8 patient logs.
Spanning 26 years of clinical practice following 2000 graduation from medical training, Dr. Karina Appel integrates 39 Active CMS HCPCS Codes diagnostics for Shirley metro patients.
Compared against Shirley, NY Internal Medicine peers
639 annual services across 197 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 | 277 | 12th | $117 – $160 |
| 99213 | Established Preventive & Chronic Care Visit | 160 | 12th | $89 – $122 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 80 | 12th | $43 – $58 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 62 | 12th | $137 – $188 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 37 | 12th | $162 – $222 |
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Dr. Karina Appel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Appel National Provider Identifier | NPI #1184250151 (MD) | CMS NPPES Registry (11967) |
| Dr. Appel Shirley CMS Volume Rank | 0.00th Pct (639 CMS svcs; Z -0.218σ) | CMS Medicare Part B (NY Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Shirley, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 22 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.65/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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