Dr. Lee Theophelis, MD
1350 Hickory St, Melbourne, FL 32901 • +1-745-555-6765
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Melbourne Percentiles
NPI #1861448318 • CBSA Regional • Plastic and Reconstructive Surgery
Within the Melbourne, FL (CBSA local) Plastic and Reconstructive Surgery cohort, Dr. Lee Theophelis, MD with sub-specialty concentration in 125 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 13.04th FL percentile (-0.77σ Z-score) based on 682 billed procedures for 160 patients.
Among 5 tracked CMS fee-schedule codes for Dr. Theophelis (averaging 4.3 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (307 encounters), paired with 99213 (177x).
At 1350 Hickory St (32901), Dr. Lee Theophelis, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$216.00 per new consult (4.61/5 bedside rating).
NPI registry verification (#1861448318) confirms Dr. Lee Theophelis's MD standing serving CBSA 32901 with a 4.77/5 patient scorecard.
Compared against Melbourne, FL Plastic and Reconstructive Surgery peers
682 annual services across 160 beneficiaries
Standard deviations from FL Plastic and Reconstructive Surgery 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 | 307 | 12th | $237 – $325 |
| 99213 | Established Preventive & Chronic Care Visit | 177 | 12th | $181 – $249 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 89 | 12th | $87 – $119 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 68 | 12th | $278 – $381 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 41 | 12th | $330 – $452 |
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Dr. Lee Theophelis, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Theophelis National Provider Identifier | NPI #1861448318 (MD) | CMS NPPES Registry (32901) |
| Dr. Theophelis Melbourne CMS Volume Rank | 0.00th Pct (682 CMS svcs; Z -0.765σ) | CMS Medicare Part B (FL Plastic and Reconstructive Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Melbourne, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 20 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.65/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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