Dr. Ayman Karkoutly, MD
4001 21st St, Lubbock, TX 79410 • +1-404-555-8408
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Lubbock Percentiles
NPI #1477583052 • CBSA Regional • Internal Medicine
Operating out of Lubbock, TX (4001 21st St), Internal Medicine clinician Dr. Ayman Karkoutly, MD (accredited MD/DO training, 2004) maintains a top-decile high-throughput specialist (92.5th percentile in Lubbock) (97.86th TX percentile; Z-score +1.31σ across 22,706 documented services) with sub-specialty concentration in 84 Active CMS HCPCS Codes.
Dr. Karkoutly's longitudinal care intensity (53.8 billed units per patient across 422 individuals) centers on 99214 (9703 annual units) and 99213 ($37–$52 cash range).
Direct cash-pay transparency modeling sets Dr. Karkoutly's baseline new-consult rate near $209.00 in Lubbock, TX (cash-pay accepted, in-person clinic visits only, 12-minute average reception wait).
NPI registry verification (#1477583052) confirms Dr. Ayman Karkoutly's MD standing serving CBSA 79410 with a 4.61/5 patient scorecard.
Top 10% Internal Medicine volume leader in Lubbock, TX
22,706 annual services across 422 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 | 9,703 | 92.5th | $48 – $66 |
| 99213 | Established Preventive & Chronic Care Visit | 5,606 | 92.5th | $37 – $52 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 2,803 | 91.5th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 2,156 | 92.5th | $57 – $78 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 1,294 | 94.5th | $67 – $92 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (84 HCPCS billing breadth) | 1,143 | 92.5th | $45 – $65 |
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Dr. Ayman Karkoutly, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Karkoutly National Provider Identifier | NPI #1477583052 (MD) | CMS NPPES Registry (79410) |
| Dr. Karkoutly Lubbock CMS Volume Rank | 92.50th Pct (22,706 CMS svcs; Z +1.306σ) | CMS Medicare Part B (TX Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lubbock, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.62/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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