Dr. Karthik Penumetsa, MD
610 Wyoming Ave, Kingston, PA 18704 • +1-589-555-6474
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Kingston Percentiles
NPI #1710151527 • CBSA Regional • Gastroenterology
Within the Kingston, PA (CBSA local) Gastroenterology cohort, Dr. Karthik Penumetsa, MD with sub-specialty concentration in 42 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 26.69th PA percentile (-0.71σ Z-score) based on 916 billed procedures for 497 patients.
Fee-schedule auditing of NPI 1710151527 highlights 339 annual claims for 99214 (99th Kingston percentile; $185–$253 self-pay corridor) plus 229 encounters under 45380 and 192 under 43239.
Direct cash-pay transparency modeling sets Dr. Penumetsa's baseline new-consult rate near $209.00 in Kingston, PA (cash-pay accepted, in-person clinic visits only, 14-minute average reception wait).
Patients evaluating Dr. Karthik Penumetsa in ZIP 18704 note 13 years of post-doctoral tenure (null, 2013) alongside 1.8 annual CMS procedures per patient.
Top 10% Gastroenterology volume leader in Kingston, PA
916 annual services across 497 beneficiaries
Standard deviations from PA 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 | 339 | 99th | $185 – $253 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 229 | 99.5th | $445 – $610 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 192 | 99.5th | $369 – $506 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 92 | 99.5th | $495 – $679 |
| 99204 | New Patient Digestive & Hepatology Consultation | 64 | 99.5th | $260 – $357 |
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Dr. Karthik Penumetsa, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Penumetsa National Provider Identifier | NPI #1710151527 (MD) | CMS NPPES Registry (18704) |
| Dr. Penumetsa Kingston CMS Volume Rank | 99.00th Pct (916 CMS svcs; Z -0.711σ) | CMS Medicare Part B (PA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Kingston, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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