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Hospitalist • Scranton, PA 18510 • NPI #1467893859

Dr. Shanmuga Priya Niragulathan, MD

501 Madison Ave, Scranton, PA 18510 • +1-318-555-3780

Medical Education: Accredited U.S. Medical School (Class of 2002)

11 Active CMS HCPCS Codes
4.71/5
Waiting-Room Score
22 patient logs
$209.00
Fair Cash-Pay Benchmark

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

NPI #1467893859 • CBSA Regional • Hospitalist

Dr. Shanmuga Priya Niragulathan DotMD Verification Badge

CMS Medicare Part B utilization records credit Dr. Shanmuga Priya Niragulathan (MD, NPI 1467893859) at 501 Madison Ave in Scranton with 920 annual clinical services (411 beneficiaries), corresponding to a -0.08σ regional deviation and mid-cohort balanced caseload (52.38th Scranton percentile) with sub-specialty concentration in 11 Active CMS HCPCS Codes.

Fee-schedule auditing of NPI 1467893859 highlights 414 annual claims for 99214 (52.38th Scranton percentile; $185–$253 self-pay corridor) plus 239 encounters under 99213 and 120 under 93000.

Direct cash-pay transparency modeling sets Dr. Niragulathan's baseline new-consult rate near $209.00 in Scranton, PA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 14-minute average reception wait).

Credentialed as an MD specialist with 24 years post-graduation experience since completing medical school at an LCME/COCA institution (2002), Dr. Niragulathan coordinates 11 Active CMS HCPCS Codes workups from 501 Madison Ave (+1-318-555-3780).

Scranton Percentile 52.38th

Compared against Scranton, PA Hospitalist peers

PA State Percentile 54.24th

920 annual services across 411 beneficiaries

Regional Volume Z-Score -0.079σ

Standard deviations from PA Hospitalist 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 414 52.38th $185 – $253
99213 Established Preventive & Chronic Care Visit 239 49.38th $141 – $194
93000 In-Office 12-Lead Resting Electrocardiogram 120 50.38th $68 – $93
G0439 Annual Preventive Wellness & Cardiometabolic Risk Assessment 92 54.38th $217 – $297
99204 Comprehensive New Patient Internal Medicine Diagnostic Visit 55 48.38th $257 – $352
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Dr. Shanmuga Priya Niragulathan, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Niragulathan National Provider Identifier NPI #1467893859 (MD) CMS NPPES Registry (18510)
Dr. Niragulathan Scranton CMS Volume Rank 52.38th Pct (920 CMS svcs; Z -0.079σ) CMS Medicare Part B (PA Hospitalist)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Scranton, PA)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 14 min lobby wait 22 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.57/5 Listening • 4.59/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
14 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.57/5
Patient communication rating
Modern Protocol Openness
4.59/5
Preventive labs, GLP-1s & HRT
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