Dr. Pratap Tummala, MD
1107 Sara Swamy DR, Sherman, TX 75090 • +1-418-555-6314
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Sherman Percentiles
NPI #1730187816 • CBSA Regional • Rheumatology
Statistical peer benchmarking across TX Rheumatology providers positions Dr. Pratap Tummala, MD in Sherman at -0.46σ (99th city percentile / 45.77th state percentile, 833 Medicare beneficiaries), with clinical focus spanning 39 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Pratap Tummala (75090) place 99214 at the top of the practice ledger (2225 yearly units, 99th metro rank), rounded out by 20610 and 96413.
At 1107 Sara Swamy DR (75090), Dr. Pratap Tummala, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.68/5 bedside rating).
NPI registry verification (#1730187816) confirms Dr. Pratap Tummala's MD standing serving CBSA 75090 with a 4.72/5 patient scorecard.
Top 10% Rheumatology volume leader in Sherman, TX
32,167 annual services across 833 beneficiaries
Standard deviations from TX Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 2,225 | 99th | $45 – $62 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 1,016 | 99.5th | $36 – $51 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 726 | 99.5th | $62 – $85 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 484 | 99.5th | $47 – $65 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 387 | 99th | $62 – $85 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (39 HCPCS billing breadth) | 27,329 | 99th | $45 – $65 |
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Dr. Pratap Tummala, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Tummala National Provider Identifier | NPI #1730187816 (MD) | CMS NPPES Registry (75090) |
| Dr. Tummala Sherman CMS Volume Rank | 99.00th Pct (32,167 CMS svcs; Z -0.459σ) | CMS Medicare Part B (TX Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sherman, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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