Dr. Raksha Nepal, MD
14841 179th Ave Se Ste 210, Monroe, WA 98272 • +1-819-555-1820
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Monroe Percentiles
NPI #1881088995 • CBSA Regional • Internal Medicine
Operating out of Monroe, WA (14841 179th Ave Se Ste 210), Internal Medicine clinician Dr. Raksha Nepal, MD (accredited MD/DO training, 1993) maintains a focused low-volume boutique caseload (33.33th Monroe percentile) (24.34th WA percentile; Z-score -0.29σ across 829 documented services) with sub-specialty concentration in 36 Active CMS HCPCS Codes.
Dr. Nepal's longitudinal care intensity (4.5 billed units per patient across 184 individuals) centers on 99214 (362 annual units) and 99213 ($113–$155 cash range).
For out-of-network patients contacting +1-819-555-1820, Dr. Nepal's practice posts a $222.00 GPCI self-pay consult estimate ($222.00 patient-logged median, 4.90/5 composite reality score over 25 submissions).
Clinical background for Dr. Nepal (MD, NPI #1881088995) includes accredited doctoral training (1993, 33 yrs in practice) and virtual + in-office availability across WA.
Compared against Monroe, WA Internal Medicine peers
829 annual services across 184 beneficiaries
Standard deviations from WA 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 | 362 | 33.33th | $148 – $202 |
| 99213 | Established Preventive & Chronic Care Visit | 209 | 35.33th | $113 – $155 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 105 | 32.33th | $54 – $74 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 81 | 35.33th | $173 – $237 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 48 | 30.33th | $205 – $281 |
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Dr. Raksha Nepal, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nepal National Provider Identifier | NPI #1881088995 (MD) | CMS NPPES Registry (98272) |
| Dr. Nepal Monroe CMS Volume Rank | 33.33th Pct (829 CMS svcs; Z -0.293σ) | CMS Medicare Part B (WA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Monroe, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 15 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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