Dr. Pradeep Kumar, MD
4310 James Casey St, Suite 4a, Austin, TX 78745 • +1-892-555-1442
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Austin Percentiles
NPI #1093790537 • CBSA 12420 • Gastroenterology
Dr. Pradeep Kumar, MD (NPI #1093790537) practices Gastroenterology in Austin, TX (78745) with sub-specialty concentration in 33 Active CMS HCPCS Codes, recording 1,292 annual CMS services across 410 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (70.37th Austin percentile) (-0.25σ vs TX state mean, 48.28th statewide percentile).
Fee-schedule auditing of NPI 1093790537 highlights 478 annual claims for 99214 (70.37th Austin percentile; $108–$148 self-pay corridor) plus 323 encounters under 45380 and 271 under 43239.
Direct cash-pay transparency modeling sets Dr. Kumar's baseline new-consult rate near $211.00 in Austin, TX (cash-pay accepted, hybrid in-clinic and telehealth video consults, 15-minute average reception wait).
From 4310 James Casey St, Suite 4a in Austin (+1-892-555-1442), Dr. Kumar, MD (17-year clinical track record) delivers 33 Active CMS HCPCS Codes care.
Compared against Austin, TX Gastroenterology peers
1,292 annual services across 410 beneficiaries
Standard deviations from TX 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 | 478 | 70.37th | $108 – $148 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 323 | 73.37th | $259 – $355 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 271 | 67.37th | $215 – $295 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 129 | 68.37th | $289 – $396 |
| 99204 | New Patient Digestive & Hepatology Consultation | 90 | 65.37th | $152 – $208 |
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Dr. Pradeep Kumar, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kumar National Provider Identifier | NPI #1093790537 (MD) | CMS NPPES Registry (78745) |
| Dr. Kumar Austin CMS Volume Rank | 70.37th Pct (1,292 CMS svcs; Z -0.249σ) | CMS Medicare Part B (TX Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $211.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Austin, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $211.00 avg paid • 15 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.94/5 Listening • 4.83/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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