Dr. Durga Adhikari, MD
2001 2nd Ave Ste 201, Summerville, SC 29486 • +1-971-555-7945
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Summerville Percentiles
NPI #1538319074 • CBSA Regional • Rheumatology
Statistical peer benchmarking across SC Rheumatology providers positions Dr. Durga Adhikari, MD in Summerville at +0.22σ (50th city percentile / 67.74th state percentile, 660 Medicare beneficiaries), with clinical focus spanning 70 Active CMS HCPCS Codes.
Dr. Adhikari's longitudinal care intensity (195.7 billed units per patient across 660 individuals) centers on 99214 (1777 annual units) and 20610 ($36–$51 cash range).
Direct cash-pay transparency modeling sets Dr. Adhikari's baseline new-consult rate near $209.00 in Summerville, SC (cash-pay accepted, hybrid in-clinic and telehealth video consults, 15-minute average reception wait).
Spanning 29 years of clinical practice following 1997 graduation from medical training, Dr. Durga Adhikari integrates 70 Active CMS HCPCS Codes diagnostics for Summerville metro patients.
Compared against Summerville, SC Rheumatology peers
129,147 annual services across 660 beneficiaries
Standard deviations from SC Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 1,777 | 50th | $45 – $62 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 811 | 55th | $36 – $51 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 580 | 52th | $62 – $85 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 386 | 45th | $47 – $65 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 309 | 54th | $62 – $85 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (70 HCPCS billing breadth) | 125,283 | 50th | $45 – $65 |
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Dr. Durga Adhikari, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Adhikari National Provider Identifier | NPI #1538319074 (MD) | CMS NPPES Registry (29486) |
| Dr. Adhikari Summerville CMS Volume Rank | 50.00th Pct (129,147 CMS svcs; Z +0.220σ) | CMS Medicare Part B (SC Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Summerville, SC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.55/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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