Dr. Ruma Dahal, MD
190 Campus Blvd Ste 200, Winchester, VA 22601 • +1-297-555-2683
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Winchester Percentiles
NPI #1376858498 • CBSA Regional • Family Practice
Operating out of Winchester, VA (190 Campus Blvd Ste 200), Family Practice clinician Dr. Ruma Dahal, MD (accredited MD/DO training, 2010) maintains a upper-quartile active clinical volume (82.61th Winchester percentile) (94.8th VA percentile; Z-score +0.37σ across 8,113 documented services) with sub-specialty concentration in 56 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1376858498 highlights 3357 annual claims for 99214 (82.61th Winchester percentile; $56–$77 self-pay corridor) plus 2478 encounters under 99213 and 959 under G0439.
At 190 Campus Blvd Ste 200 (22601), Dr. Ruma Dahal, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.67/5 bedside rating).
Patients evaluating Dr. Ruma Dahal in ZIP 22601 note 16 years of post-doctoral tenure (null, 2010) alongside 16.2 annual CMS procedures per patient.
Compared against Winchester, VA Family Practice peers
8,113 annual services across 502 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 | 3,357 | 82.61th | $56 – $77 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 2,478 | 78.61th | $43 – $59 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 959 | 84.61th | $65 – $88 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 719 | 81.61th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 480 | 78.61th | $77 – $106 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (56 HCPCS billing breadth) | 119 | 82.61th | $51 – $74 |
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Dr. Ruma Dahal, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Dahal National Provider Identifier | NPI #1376858498 (MD) | CMS NPPES Registry (22601) |
| Dr. Dahal Winchester CMS Volume Rank | 82.61th Pct (8,113 CMS svcs; Z +0.371σ) | CMS Medicare Part B (VA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Winchester, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.88/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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