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Internal Medicine • Martinsburg, WV 25401 • NPI #1326496688

Dr. Sunil Paudel, MD

2500 Hospital DR, Martinsburg, WV 25401 • +1-698-555-3532

Medical Education: Accredited U.S. Medical School (Class of 2010)

9 Active CMS HCPCS Codes
4.91/5
Waiting-Room Score
6 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Martinsburg Percentiles

NPI #1326496688 • CBSA Regional • Internal Medicine

Dr. Sunil Paudel DotMD Verification Badge

Dr. Sunil Paudel, MD (NPI #1326496688) practices Internal Medicine in Martinsburg, WV (25401) with sub-specialty concentration in 9 Active CMS HCPCS Codes, recording 852 annual CMS services across 268 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (10th Martinsburg percentile) (-0.50σ vs WV state mean, 29.03th statewide percentile).

Medicare Part B line-item claims for Dr. Sunil Paudel (25401) place 99214 at the top of the practice ledger (383 yearly units, 12th metro rank), rounded out by 99213 and 93000.

Self-pay new patient consultations with Dr. Paudel (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 10-minute average reception wait, and a 4.66/5 modern protocol openness score across 6 patient logs.

Spanning 16 years of clinical practice following 2010 graduation from medical training, Dr. Sunil Paudel integrates 9 Active CMS HCPCS Codes diagnostics for Martinsburg metro patients.

Martinsburg Percentile 10.00th

Compared against Martinsburg, WV Internal Medicine peers

WV State Percentile 29.03th

852 annual services across 268 beneficiaries

Regional Volume Z-Score -0.500σ

Standard deviations from WV 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 383 12th $155 – $212
99213 Established Preventive & Chronic Care Visit 222 12th $118 – $162
93000 In-Office 12-Lead Resting Electrocardiogram 111 15th $56 – $77
G0439 Annual Preventive Wellness & Cardiometabolic Risk Assessment 85 14th $181 – $249
99204 Comprehensive New Patient Internal Medicine Diagnostic Visit 51 14th $215 – $295
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Dr. Sunil Paudel, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Paudel National Provider Identifier NPI #1326496688 (MD) CMS NPPES Registry (25401)
Dr. Paudel Martinsburg CMS Volume Rank 10.00th Pct (852 CMS svcs; Z -0.500σ) CMS Medicare Part B (WV Internal Medicine)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Martinsburg, WV)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 10 min lobby wait 6 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.67/5 Listening • 4.66/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
10 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.67/5
Patient communication rating
Modern Protocol Openness
4.66/5
Preventive labs, GLP-1s & HRT
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Dr. Paudel Waiting-Room Q&A & Patient Experience Logs

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