Dr. Ajay Pabby, MD
910 W 5th Ave Ste 501570, Spokane, WA 99204 • +1-846-555-6749
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Spokane Percentiles
NPI #1205929163 • CBSA Regional • Gastroenterology
Operating out of Spokane, WA (910 W 5th Ave Ste 501570), Gastroenterology clinician Dr. Ajay Pabby, MD (accredited MD/DO training, 1994) maintains a focused low-volume boutique caseload (16.67th Spokane percentile) (24th WA percentile; Z-score -0.47σ across 816 documented services) with sub-specialty concentration in 44 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1205929163 highlights 302 annual claims for 99214 (16.67th Spokane percentile; $258–$354 self-pay corridor) plus 204 encounters under 45380 and 171 under 43239.
Self-pay new patient consultations with Dr. Pabby (CPT 99204 GPCI-adjusted benchmark) estimate around $222.00 (community reported average: $222.00) with hybrid in-clinic and telehealth video consults, 9-minute average reception wait, and a 4.87/5 modern protocol openness score across 17 patient logs.
Clinical background for Dr. Pabby (MD, NPI #1205929163) includes accredited doctoral training (1994, 32 yrs in practice) and virtual + in-office availability across WA.
Compared against Spokane, WA Gastroenterology peers
816 annual services across 519 beneficiaries
Standard deviations from WA Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 302 | 16.67th | $258 – $354 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 204 | 12.67th | $622 – $853 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 171 | 12.67th | $517 – $708 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 82 | 12th | $693 – $949 |
| 99204 | New Patient Digestive & Hepatology Consultation | 57 | 20.67th | $364 – $499 |
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Dr. Ajay Pabby, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pabby National Provider Identifier | NPI #1205929163 (MD) | CMS NPPES Registry (99204) |
| Dr. Pabby Spokane CMS Volume Rank | 16.67th Pct (816 CMS svcs; Z -0.474σ) | CMS Medicare Part B (WA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Spokane, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 9 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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