Dr. Prithviraj Rai, MD
1300 Hospital DR Ste 302, Fredericksburg, VA 22401 • +1-394-555-3334
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Fredericksburg Percentiles
NPI #1891863130 • CBSA Regional • Cardiology
Within the Fredericksburg, VA (CBSA local) Cardiology cohort, Dr. Prithviraj Rai, MD with sub-specialty concentration in 70 Active CMS HCPCS Codes ranks at the 38.46th municipal percentile and 62.17th VA percentile (-0.06σ Z-score) based on 3,908 billed procedures for 1,591 patients.
Procedural volume for Dr. Rai is led by HCPCS 99214 (Established Cardiology Consultation & Hemodynamic Review — 1402 annual services, $144–$197 GPCI cash estimate), followed by CPT 93000 (12-Lead Resting Electrocardiogram (ECG) w/ Interpretation, 1033/yr) and CPT 93306 (Complete Transthoracic Echocardiography w/ Doppler & Color Flow, 664/yr).
Direct cash-pay transparency modeling sets Dr. Rai's baseline new-consult rate near $209.00 in Fredericksburg, VA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 14-minute average reception wait).
Credentialed as an MD specialist with 23 years post-graduation experience since completing medical school at an LCME/COCA institution (2003), Dr. Rai coordinates 70 Active CMS HCPCS Codes workups from 1300 Hospital DR Ste 302 (+1-394-555-3334).
Compared against Fredericksburg, VA Cardiology peers
3,908 annual services across 1,591 beneficiaries
Standard deviations from VA Cardiology 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 Cardiology Consultation & Hemodynamic Review | 1,402 | 38.46th | $144 – $197 |
| 93000 | 12-Lead Resting Electrocardiogram (ECG) w/ Interpretation | 1,033 | 41.46th | $56 – $77 |
| 93306 | Complete Transthoracic Echocardiography w/ Doppler & Color Flow | 664 | 38.46th | $269 – $368 |
| 93224 | 24-Hour Ambulatory ECG Rhythm Monitoring & Analysis | 369 | 37.46th | $169 – $231 |
| 99204 | Comprehensive New Patient Cardiovascular Risk Evaluation | 221 | 37.46th | $206 – $283 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (70 HCPCS billing breadth) | 218 | 38.46th | $130 – $189 |
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Dr. Prithviraj Rai, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rai National Provider Identifier | NPI #1891863130 (MD) | CMS NPPES Registry (22401) |
| Dr. Rai Fredericksburg CMS Volume Rank | 38.46th Pct (3,908 CMS svcs; Z -0.060σ) | CMS Medicare Part B (VA Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fredericksburg, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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