Dr. Karishma Tolani, MD
600 Gresham DR Fl 5, Norfolk, VA 23507 • +1-599-555-7580
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Norfolk Percentiles
NPI #1578069266 • CBSA Regional • Family Practice
CMS Medicare Part B utilization records credit Dr. Karishma Tolani (MD, NPI 1578069266) at 600 Gresham DR Fl 5 in Norfolk with 900 annual clinical services (299 beneficiaries), corresponding to a -0.16σ regional deviation and focused low-volume boutique caseload (30th Norfolk percentile) with sub-specialty concentration in 15 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 600 Gresham DR Fl 5 shows Dr. Karishma Tolani's primary concentration in Comprehensive Primary Care & Chronic Protocol Management (code 99214: 378x/yr, 30th local percentile) alongside Focused Acute & Preventive Primary Care Evaluation (99213: 279x/yr, $118–$162).
Uninsured and high-deductible cash patients visiting Dr. Karishma Tolani in Norfolk (23507) face an estimated $209.00 initial evaluation fee at 600 Gresham DR Fl 5 (hybrid in-clinic and telehealth video consults; 19-minute average reception wait; bedside manner 4.82/5 from 7 verified reports).
NPI registry verification (#1578069266) confirms Dr. Karishma Tolani's MD standing serving CBSA 23507 with a 4.92/5 patient scorecard.
Compared against Norfolk, VA Family Practice peers
900 annual services across 299 beneficiaries
Standard deviations from VA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 378 | 30th | $154 – $211 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 279 | 34th | $118 – $162 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 108 | 33th | $177 – $243 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 81 | 28th | $34 – $49 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 54 | 34th | $212 – $291 |
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Dr. Karishma Tolani, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Tolani National Provider Identifier | NPI #1578069266 (MD) | CMS NPPES Registry (23507) |
| Dr. Tolani Norfolk CMS Volume Rank | 30.00th Pct (900 CMS svcs; Z -0.157σ) | CMS Medicare Part B (VA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Norfolk, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.82/5 Listening • 4.56/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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