Dr. Sanjay Kumar, MD
461 Spruce St, Walterboro, SC 29488 • +1-868-555-6699
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Walterboro Percentiles
NPI #1275632309 • CBSA Regional • Nephrology
Dr. Sanjay Kumar, MD (NPI #1275632309) practices Nephrology in Walterboro, SC (29488) with sub-specialty concentration in 43 Active CMS HCPCS Codes, recording 2,696 annual CMS services across 444 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Walterboro) (-0.15σ vs SC state mean, 55.45th statewide percentile).
Granular CPT/HCPCS billing distribution at 461 Spruce St shows Dr. Sanjay Kumar's primary concentration in Chronic Kidney Disease eGFR, uACR & Electrolyte Management (code 99214: 1260x/yr, 99th local percentile) alongside Monthly Adult ESRD Renal Replacement Oversight (90960: 578x/yr, $337–$462).
Self-pay new patient consultations with Dr. Kumar (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 14-minute average reception wait, and a 4.51/5 modern protocol openness score across 26 patient logs.
NPI registry verification (#1275632309) confirms Dr. Sanjay Kumar's MD standing serving CBSA 29488 with a 4.67/5 patient scorecard.
Top 10% Nephrology volume leader in Walterboro, SC
2,696 annual services across 444 beneficiaries
Standard deviations from SC Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 1,260 | 99th | $168 – $231 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 578 | 99.5th | $337 – $462 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 473 | 99.5th | $246 – $337 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 315 | 99.5th | $232 – $317 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (43 HCPCS billing breadth) | 70 | 99th | $146 – $212 |
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Dr. Sanjay Kumar, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kumar National Provider Identifier | NPI #1275632309 (MD) | CMS NPPES Registry (29488) |
| Dr. Kumar Walterboro CMS Volume Rank | 99.00th Pct (2,696 CMS svcs; Z -0.153σ) | CMS Medicare Part B (SC Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Walterboro, SC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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