Dr. Pratik Kapadia, MD
3600 Gaston Ave Ste 1004, Dallas, TX 75246 • +1-959-555-5759
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Dallas Percentiles
NPI #1447260955 • CBSA 19100 • Internal Medicine
Statistical peer benchmarking across TX Internal Medicine providers positions Dr. Pratik Kapadia, MD in Dallas at -0.21σ (35.08th city percentile / 34.34th state percentile, 96 Medicare beneficiaries), with clinical focus spanning 29 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1447260955 highlights 439 annual claims for 99214 (35.08th Dallas percentile; $88–$121 self-pay corridor) plus 254 encounters under 99213 and 127 under 93000.
Self-pay new patient consultations with Dr. Kapadia (CPT 99204 GPCI-adjusted benchmark) estimate around $211.00 (community reported average: $211.00) with hybrid in-clinic and telehealth video consults, 18-minute average reception wait, and a 4.49/5 modern protocol openness score across 20 patient logs.
Spanning 29 years of clinical practice following 1997 graduation from medical training, Dr. Pratik Kapadia integrates 29 Active CMS HCPCS Codes diagnostics for Dallas metro patients.
Compared against Dallas, TX Internal Medicine peers
1,050 annual services across 96 beneficiaries
Standard deviations from TX Internal Medicine 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 | 439 | 35.08th | $88 – $121 |
| 99213 | Established Preventive & Chronic Care Visit | 254 | 37.08th | $68 – $93 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 127 | 38.08th | $32 – $47 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 98 | 37.08th | $104 – $142 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 59 | 35.08th | $123 – $169 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (29 HCPCS billing breadth) | 74 | 35.08th | $80 – $116 |
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Dr. Pratik Kapadia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kapadia National Provider Identifier | NPI #1447260955 (MD) | CMS NPPES Registry (75246) |
| Dr. Kapadia Dallas CMS Volume Rank | 35.08th Pct (1,050 CMS svcs; Z -0.207σ) | CMS Medicare Part B (TX Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $211.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Dallas, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $211.00 avg paid • 18 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.63/5 Listening • 4.49/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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