Dr. Varalaxmi Nannaka, MD
912 S Fleishel Ave, Tyler, TX 75701 • +1-887-555-7144
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Tyler Percentiles
NPI #1003198391 • CBSA Regional • Pulmonary Disease
CMS Medicare Part B utilization records credit Dr. Varalaxmi Nannaka (MD, NPI 1003198391) at 912 S Fleishel Ave in Tyler with 2,662 annual clinical services (702 beneficiaries), corresponding to a -0.01σ regional deviation and mid-cohort balanced caseload (57.14th Tyler percentile) with sub-specialty concentration in 55 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 912 S Fleishel Ave shows Dr. Varalaxmi Nannaka's primary concentration in Established Pulmonary, Asthma & COPD Management (code 99214: 1091x/yr, 57.14th local percentile) alongside Pre- & Post-Bronchodilator Spirometry Airflow Evaluation (94060: 612x/yr, $92–$126).
Uninsured and high-deductible cash patients visiting Dr. Varalaxmi Nannaka in Tyler (75701) face an estimated $209.00 initial evaluation fee at 912 S Fleishel Ave (hybrid in-clinic and telehealth video consults; 13-minute average reception wait; bedside manner 4.76/5 from 7 verified reports).
Patients evaluating Dr. Varalaxmi Nannaka in ZIP 75701 note 27 years of post-doctoral tenure (null, 1999) alongside 3.8 annual CMS procedures per patient.
Compared against Tyler, TX Pulmonary Disease peers
2,662 annual services across 702 beneficiaries
Standard deviations from TX Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 1,091 | 57.14th | $141 – $193 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 612 | 60.14th | $92 – $126 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 453 | 57.14th | $83 – $114 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 293 | 59.14th | $257 – $353 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 213 | 52.14th | $199 – $272 |
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Dr. Varalaxmi Nannaka, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nannaka National Provider Identifier | NPI #1003198391 (MD) | CMS NPPES Registry (75701) |
| Dr. Nannaka Tyler CMS Volume Rank | 57.14th Pct (2,662 CMS svcs; Z -0.009σ) | CMS Medicare Part B (TX Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Tyler, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.49/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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