Internal Medicine • Springfield, OH 45504 • NPI #1912560327

Dr. Pratibha Acharya, MD

100 Medical Center DR, Springfield, OH 45504 • +1-287-555-1274

Medical Education: Accredited U.S. Medical School (Class of 2003)

7 Active CMS HCPCS Codes
4.75/5
Waiting-Room Score
14 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Springfield Percentiles

NPI #1912560327 • CBSA Regional • Internal Medicine

Dr. Pratibha Acharya DotMD Verification Badge

Within the Springfield, OH (CBSA local) Internal Medicine cohort, Dr. Pratibha Acharya, MD with sub-specialty concentration in 7 Active CMS HCPCS Codes ranks at the 15.79th municipal percentile and 11.74th OH percentile (-0.30σ Z-score) based on 712 billed procedures for 308 patients.

Medicare Part B line-item claims for Dr. Pratibha Acharya (45504) place 99214 at the top of the practice ledger (320 yearly units, 15.79th metro rank), rounded out by 99213 and 93000.

Uninsured and high-deductible cash patients visiting Dr. Pratibha Acharya in Springfield (45504) face an estimated $209.00 initial evaluation fee at 100 Medical Center DR (hybrid in-clinic and telehealth video consults; 10-minute average reception wait; bedside manner 4.95/5 from 14 verified reports).

Credentialed as an MD specialist with 23 years post-graduation experience since completing medical school at an LCME/COCA institution (2003), Dr. Acharya coordinates 7 Active CMS HCPCS Codes workups from 100 Medical Center DR (+1-287-555-1274).

Springfield Percentile 15.79th

Compared against Springfield, OH Internal Medicine peers

OH State Percentile 11.74th

712 annual services across 308 beneficiaries

Regional Volume Z-Score -0.297σ

Standard deviations from OH 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 320 15.79th $157 – $216
99213 Established Preventive & Chronic Care Visit 185 20.79th $120 – $165
93000 In-Office 12-Lead Resting Electrocardiogram 93 12th $58 – $79
G0439 Annual Preventive Wellness & Cardiometabolic Risk Assessment 71 20.79th $185 – $253
99204 Comprehensive New Patient Internal Medicine Diagnostic Visit 43 12th $219 – $300
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Dr. Pratibha Acharya, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Acharya National Provider Identifier NPI #1912560327 (MD) CMS NPPES Registry (45504)
Dr. Acharya Springfield CMS Volume Rank 15.79th Pct (712 CMS svcs; Z -0.297σ) CMS Medicare Part B (OH Internal Medicine)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Springfield, OH)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 10 min lobby wait 14 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.95/5 Listening • 4.57/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
10 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.95/5
Patient communication rating
Modern Protocol Openness
4.57/5
Preventive labs, GLP-1s & HRT
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