Dr. Alex Pavidapha , M.D
Moderate MarkupHigher Out-of-Pocket Billing Risk
This practice submits charges that average 3.9 times customary allowable rates. If you have not met your annual health insurance deductible, or if this doctor is out-of-network with your health plan, you may face significant balance billing.
- Confirm network status: Call your insurer to confirm this specific physician and office address are in-network.
- Request in-network labs: Before blood draws or biopsies, ask the nurse to send samples exclusively to an in-network commercial laboratory.
- Ask for a written estimate: Under the No Surprises Act, you are legally entitled to a Good Faith Estimate if you are self-pay or out-of-network.
Balanced Practice
Maintains a steady clinical rhythm balancing focused physical examination with patient discussion.
How is appointment length calculated?
Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).
Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.
Appointment Length & Visit Style
Clinical appointment coding analysis across standard patient evaluations
Dr. Pavidapha maintains a focused, rapid visit cadence suited for straightforward checkups and procedural follow-ups.
Pricing Transparency & Fee Comparison
How this provider bills compared to standard insurance benchmarks
Dr. Pavidapha bills moderately higher than baseline insurance benchmarks. If you are in-network, your co-pay or coinsurance will be determined by your plan's contracted rate. If paying out of pocket, request an upfront written fee estimate.
Verified Clinical Procedures & Surgical Focus
Official annual procedure volumes, customary fee comparisons, and clinical focus areas.
| Clinical Procedure & Code | Annual Services | Doctor Charge | Peer Norm | Standard Baseline | vs. Peer Norm |
|---|---|---|---|---|---|
HCPCS Q9967 | 29,960 | $0.57 | $1.00 | $0.15 | 0.57x |
CPT 75774 | 1,392 | $321.58 | $151.50 | $108.86 | 2.12x |
CPT 36248 | 1,344 | $418.25 | $350.00 | $131.67 | 1.19x |
CPT 99153 | 798 | $49.77 | $31.00 | $12.89 | 1.61x |
HCPCS J0690 | 487 | $9.42 | $5.00 | $0.76 | 1.88x |
CPT 36247 | 485 | $4756.29 | $2839.00 | $831.30 | 1.68x |
HCPCS J2250 | 434 | $8.49 | $4.00 | $0.15 | 2.12x |
HCPCS J3010 | 288 | $9.18 | $3.50 | $0.88 | 2.62x |
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👨⚕️ Physician & Medical Billing Intelligence (Click to view professional coding data)Expand ↓
This section provides clinical practice analytics for healthcare administrators, billing coders, and peer physicians evaluating practice benchmarks:
Estimated appointment time calculation: 23 minutes. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.
Gross charge multiplier: 3.93x. Useful for fee schedule alignment, out-of-network charge master analysis, and payer contract negotiations.
Patient Guidance: What to Ask Before Your Appointment
- In-Network Confirmation: Confirm directly with your insurance plan that Dr. Pavidapha participates in your specific network tier.
- Surgical Facility Fees: If having surgery, verify whether it will be in a hospital or an outpatient surgery center. Facility charges are billed separately from physician fees.
- Written Estimates: If you are paying out of pocket or have a high deductible, request a written good-faith estimate before major treatments.