Dr. Thomas Reilly, MD
4929 Van Nuys Blvd, Sherman Oaks, CA 91403 • +1-408-555-6669
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Sherman Oaks Percentiles
NPI #1265475115 • CBSA Regional • Emergency Medicine
Operating out of Sherman Oaks, CA (4929 Van Nuys Blvd), Emergency Medicine clinician Dr. Thomas Reilly, MD (accredited MD/DO training, 1992) maintains a mid-cohort balanced caseload (40th Sherman Oaks percentile) (49.53th CA percentile; Z-score -0.18σ across 890 documented services) with sub-specialty concentration in 28 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1265475115 highlights 401 annual claims for 99214 (40th Sherman Oaks percentile; $186–$255 self-pay corridor) plus 231 encounters under 99213 and 116 under 93000.
Cash-pay intake data for NPI 1265475115 (4929 Van Nuys Blvd, Sherman Oaks) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 9-minute average reception wait and 4.81/5 biomarker openness.
Clinical background for Dr. Reilly (MD, NPI #1265475115) includes accredited doctoral training (1992, 34 yrs in practice) and dedicated on-site consultations at 4929 Van Nuys Blvd.
Compared against Sherman Oaks, CA Emergency Medicine peers
890 annual services across 496 beneficiaries
Standard deviations from CA Emergency 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 | 401 | 40th | $186 – $255 |
| 99213 | Established Preventive & Chronic Care Visit | 231 | 41th | $143 – $195 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 116 | 43th | $68 – $93 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 89 | 42th | $219 – $300 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 53 | 42th | $259 – $355 |
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Dr. Thomas Reilly, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Reilly National Provider Identifier | NPI #1265475115 (MD) | CMS NPPES Registry (91403) |
| Dr. Reilly Sherman Oaks CMS Volume Rank | 40.00th Pct (890 CMS svcs; Z -0.183σ) | CMS Medicare Part B (CA Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sherman Oaks, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 9 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.55/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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