Dr. Rama Palwai, MD
55 Wind Ridge Cir, Spring, TX 77381 • +1-801-555-6925
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Spring Percentiles
NPI #1689610115 • CBSA Regional • Rheumatology
Operating out of Spring, TX (55 Wind Ridge Cir), Rheumatology clinician Dr. Rama Palwai, MD (accredited MD/DO training, 2015) maintains a mid-cohort balanced caseload (50th Spring percentile) (67.69th TX percentile; Z-score +0.18σ across 83,674 documented services) with sub-specialty concentration in 34 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Rama Palwai (77381) place 99214 at the top of the practice ledger (596 yearly units, 50th metro rank), rounded out by 20610 and 96413.
Cash-pay intake data for NPI 1689610115 (55 Wind Ridge Cir, Spring) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 13-minute average reception wait and 4.91/5 biomarker openness.
Clinical background for Dr. Palwai (MD, NPI #1689610115) includes accredited doctoral training (2015, 11 yrs in practice) and virtual + in-office availability across TX.
Compared against Spring, TX Rheumatology peers
83,674 annual services across 191 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 | 596 | 50th | $45 – $62 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 272 | 46th | $36 – $51 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 194 | 49th | $62 – $85 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 130 | 50th | $47 – $65 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 104 | 52th | $62 – $85 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (34 HCPCS billing breadth) | 82,378 | 50th | $45 – $65 |
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Dr. Rama Palwai, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Palwai National Provider Identifier | NPI #1689610115 (MD) | CMS NPPES Registry (77381) |
| Dr. Palwai Spring CMS Volume Rank | 50.00th Pct (83,674 CMS svcs; Z +0.184σ) | CMS Medicare Part B (TX Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Spring, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.91/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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