Dr. Vijay Prabhu, MD
105 S Bryant Ave, Suite 200, Edmond, OK 73034 • +1-809-555-3383
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Edmond Percentiles
NPI #1982616538 • CBSA Regional • Gastroenterology
Operating out of Edmond, OK (105 S Bryant Ave, Suite 200), Gastroenterology clinician Dr. Vijay Prabhu, MD (accredited MD/DO training, 2013) maintains a focused low-volume boutique caseload (0th Edmond percentile) (37.18th OK percentile; Z-score -0.49σ across 1,050 documented services) with sub-specialty concentration in 29 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1982616538 highlights 389 annual claims for 99214 (12th Edmond percentile; $199–$273 self-pay corridor) plus 263 encounters under 45380 and 221 under 43239.
For out-of-network patients contacting +1-809-555-3383, Dr. Prabhu's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.67/5 composite reality score over 18 submissions).
Spanning 13 years of clinical practice following 2013 graduation from medical training, Dr. Vijay Prabhu integrates 29 Active CMS HCPCS Codes diagnostics for Edmond metro patients.
Compared against Edmond, OK Gastroenterology peers
1,050 annual services across 767 beneficiaries
Standard deviations from OK 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 | 389 | 12th | $199 – $273 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 263 | 12th | $480 – $657 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 221 | 12th | $398 – $546 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 105 | 12th | $534 – $732 |
| 99204 | New Patient Digestive & Hepatology Consultation | 74 | 12th | $280 – $384 |
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Dr. Vijay Prabhu, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Prabhu National Provider Identifier | NPI #1982616538 (MD) | CMS NPPES Registry (73034) |
| Dr. Prabhu Edmond CMS Volume Rank | 0.00th Pct (1,050 CMS svcs; Z -0.494σ) | CMS Medicare Part B (OK Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Edmond, OK) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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