Dr. Ajay Pillai, MD
1503 Lansdowne Ave, Suite 3007, Darby, PA 19023 • +1-554-555-3824
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Darby Percentiles
NPI #1376556043 • CBSA Regional • Pulmonary Disease
Statistical peer benchmarking across PA Pulmonary Disease providers positions Dr. Ajay Pillai, MD in Darby at -0.21σ (0th city percentile / 39.8th state percentile, 294 Medicare beneficiaries), with clinical focus spanning 23 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Ajay Pillai (19023) place 99214 at the top of the practice ledger (433 yearly units, 12th metro rank), rounded out by 94060 and 94729.
Uninsured and high-deductible cash patients visiting Dr. Ajay Pillai in Darby (19023) face an estimated $209.00 initial evaluation fee at 1503 Lansdowne Ave, Suite 3007 (hybrid in-clinic and telehealth video consults; 22-minute average reception wait; bedside manner 4.96/5 from 26 verified reports).
Clinical background for Dr. Pillai (MD, NPI #1376556043) includes accredited doctoral training (1997, 29 yrs in practice) and virtual + in-office availability across PA.
Compared against Darby, PA Pulmonary Disease peers
1,056 annual services across 294 beneficiaries
Standard deviations from PA Pulmonary Disease 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 Pulmonary, Asthma & COPD Management | 433 | 12th | $112 – $153 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 243 | 12th | $73 – $100 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 180 | 12th | $66 – $91 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 116 | 12th | $204 – $280 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 84 | 12th | $157 – $216 |
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Dr. Ajay Pillai, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pillai National Provider Identifier | NPI #1376556043 (MD) | CMS NPPES Registry (19023) |
| Dr. Pillai Darby CMS Volume Rank | 0.00th Pct (1,056 CMS svcs; Z -0.209σ) | CMS Medicare Part B (PA Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Darby, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.60/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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