Dr. Nishant Kumar, DO
3300 Gallows Rd, Falls Church, VA 22042 • +1-430-555-7415
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Falls Church Percentiles
NPI #1477967560 • CBSA Regional • Internal Medicine
Within the Falls Church, VA (CBSA local) Internal Medicine cohort, Dr. Nishant Kumar, DO with sub-specialty concentration in 8 Active CMS HCPCS Codes ranks at the 63.16th municipal percentile and 45th VA percentile (-0.14σ Z-score) based on 1,325 billed procedures for 373 patients.
Granular CPT/HCPCS billing distribution at 3300 Gallows Rd shows Dr. Nishant Kumar's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 596x/yr, 63.16th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 345x/yr, $138–$190).
Self-pay new patient consultations with Dr. Kumar (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 22-minute average reception wait, and a 4.44/5 modern protocol openness score across 24 patient logs.
Credentialed as an DO specialist with 28 years post-graduation experience since completing medical school at an LCME/COCA institution (1998), Dr. Kumar coordinates 8 Active CMS HCPCS Codes workups from 3300 Gallows Rd (+1-430-555-7415).
Compared against Falls Church, VA Internal Medicine peers
1,325 annual services across 373 beneficiaries
Standard deviations from VA 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 | 596 | 63.16th | $181 – $248 |
| 99213 | Established Preventive & Chronic Care Visit | 345 | 60.16th | $138 – $190 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 172 | 58.16th | $66 – $90 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 133 | 58.16th | $212 – $291 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 80 | 65.16th | $252 – $345 |
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Dr. Nishant Kumar, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kumar National Provider Identifier | NPI #1477967560 (DO) | CMS NPPES Registry (22042) |
| Dr. Kumar Falls Church CMS Volume Rank | 63.16th Pct (1,325 CMS svcs; Z -0.138σ) | CMS Medicare Part B (VA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Falls Church, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.44/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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