Dr. Ali Nawras, MD
3125 Transverse DR, Toledo, OH 43614 • +1-786-555-4245
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Toledo Percentiles
NPI #1619962974 • CBSA Regional • Gastroenterology
Within the Toledo, OH (CBSA local) Gastroenterology cohort, Dr. Ali Nawras, MD with sub-specialty concentration in 67 Active CMS HCPCS Codes ranks at the 12.5th municipal percentile and 17.75th OH percentile (-0.54σ Z-score) based on 741 billed procedures for 344 patients.
Fee-schedule auditing of NPI 1619962974 highlights 274 annual claims for 99214 (12.5th Toledo percentile; $220–$301 self-pay corridor) plus 185 encounters under 45380 and 156 under 43239.
Direct cash-pay transparency modeling sets Dr. Nawras's baseline new-consult rate near $209.00 in Toledo, OH (cash-pay accepted, hybrid in-clinic and telehealth video consults, 11-minute average reception wait).
Patients evaluating Dr. Ali Nawras in ZIP 43614 note 12 years of post-doctoral tenure (null, 2014) alongside 2.2 annual CMS procedures per patient.
Compared against Toledo, OH Gastroenterology peers
741 annual services across 344 beneficiaries
Standard deviations from OH Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 274 | 12.5th | $220 – $301 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 185 | 13.5th | $529 – $725 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 156 | 17.5th | $439 – $602 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 74 | 15.5th | $589 – $807 |
| 99204 | New Patient Digestive & Hepatology Consultation | 52 | 12th | $309 – $424 |
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Dr. Ali Nawras, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nawras National Provider Identifier | NPI #1619962974 (MD) | CMS NPPES Registry (43614) |
| Dr. Nawras Toledo CMS Volume Rank | 12.50th Pct (741 CMS svcs; Z -0.535σ) | CMS Medicare Part B (OH Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Toledo, OH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.80/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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