Dr. Nicolas Karvelas, MD
200 Ne Mother Joseph Pl Ste 110, Vancouver, WA 98664 • +1-626-555-3939
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Vancouver Percentiles
NPI #1225390065 • CBSA Regional • Physical Medicine and Rehabilitation
Dr. Nicolas Karvelas, MD (NPI #1225390065) practices Physical Medicine and Rehabilitation in Vancouver, WA (98664) with sub-specialty concentration in 60 Active CMS HCPCS Codes, recording 1,519 annual CMS services across 207 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (42.86th Vancouver percentile) (-0.38σ vs WA state mean, 50.88th statewide percentile).
Procedural volume for Dr. Karvelas is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 684 annual services, $129–$177 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 395/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 197/yr).
Self-pay new patient consultations with Dr. Karvelas (CPT 99204 GPCI-adjusted benchmark) estimate around $222.00 (community reported average: $222.00) with hybrid in-clinic and telehealth video consults, 21-minute average reception wait, and a 4.79/5 modern protocol openness score across 19 patient logs.
Spanning 30 years of clinical practice following 1996 graduation from medical training, Dr. Nicolas Karvelas integrates 60 Active CMS HCPCS Codes diagnostics for Vancouver metro patients.
Compared against Vancouver, WA Physical Medicine and Rehabilitation peers
1,519 annual services across 207 beneficiaries
Standard deviations from WA Physical Medicine and Rehabilitation 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 | 684 | 42.86th | $129 – $177 |
| 99213 | Established Preventive & Chronic Care Visit | 395 | 39.86th | $99 – $135 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 197 | 41.86th | $47 – $65 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 152 | 38.86th | $151 – $208 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 91 | 39.86th | $180 – $246 |
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Dr. Nicolas Karvelas, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Karvelas National Provider Identifier | NPI #1225390065 (MD) | CMS NPPES Registry (98664) |
| Dr. Karvelas Vancouver CMS Volume Rank | 42.86th Pct (1,519 CMS svcs; Z -0.382σ) | CMS Medicare Part B (WA Physical Medicine and Rehabilitation) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Vancouver, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 21 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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