Dr. Darshan Arora, MD
258 Hoosick St, Suite 101, Troy, NY 12180 • +1-455-555-1245
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Troy Percentiles
NPI #1316934383 • CBSA Regional • Nephrology
Dr. Darshan Arora, MD (NPI #1316934383) practices Nephrology in Troy, NY (12180) with sub-specialty concentration in 22 Active CMS HCPCS Codes, recording 2,169 annual CMS services across 578 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Troy) (-0.15σ vs NY state mean, 63.14th statewide percentile).
Fee-schedule auditing of NPI 1316934383 highlights 1041 annual claims for 99214 (99th Troy percentile; $260–$356 self-pay corridor) plus 477 encounters under 90960 and 390 under 99215.
Direct cash-pay transparency modeling sets Dr. Arora's baseline new-consult rate near $232.00 in Troy, NY (cash-pay accepted, in-person clinic visits only, 12-minute average reception wait).
NPI registry verification (#1316934383) confirms Dr. Darshan Arora's MD standing serving CBSA 12180 with a 4.57/5 patient scorecard.
Top 10% Nephrology volume leader in Troy, NY
2,169 annual services across 578 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 | 1,041 | 99th | $260 – $356 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 477 | 95th | $520 – $712 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 390 | 99th | $379 – $519 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 260 | 99.5th | $357 – $489 |
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Dr. Darshan Arora, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Arora National Provider Identifier | NPI #1316934383 (MD) | CMS NPPES Registry (12180) |
| Dr. Arora Troy CMS Volume Rank | 99.00th Pct (2,169 CMS svcs; Z -0.150σ) | CMS Medicare Part B (NY Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Troy, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 12 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.64/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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