Dr. Prashanth Reddy, MD
6200 W Parker Rd, Plano, TX 75093 • +1-339-555-2420
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Plano Percentiles
NPI #1427204270 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across TX Internal Medicine providers positions Dr. Prashanth Reddy, MD in Plano at -0.21σ (21.43th city percentile / 29.89th state percentile, 312 Medicare beneficiaries), with clinical focus spanning 8 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1427204270 highlights 440 annual claims for 99214 (21.43th Plano percentile; $150–$206 self-pay corridor) plus 254 encounters under 99213 and 127 under 93000.
At 6200 W Parker Rd (75093), Dr. Prashanth Reddy, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.86/5 bedside rating).
NPI registry verification (#1427204270) confirms Dr. Prashanth Reddy's MD standing serving CBSA 75093 with a 4.73/5 patient scorecard.
Compared against Plano, TX Internal Medicine peers
977 annual services across 312 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 | 440 | 21.43th | $150 – $206 |
| 99213 | Established Preventive & Chronic Care Visit | 254 | 17.43th | $115 – $157 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 127 | 16.43th | $55 – $75 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 98 | 21.43th | $176 – $242 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 59 | 22.43th | $209 – $286 |
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Dr. Prashanth Reddy, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Reddy National Provider Identifier | NPI #1427204270 (MD) | CMS NPPES Registry (75093) |
| Dr. Reddy Plano CMS Volume Rank | 21.43th Pct (977 CMS svcs; Z -0.212σ) | CMS Medicare Part B (TX Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Plano, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.78/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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