Dr. Lori Riley, MD
6020 S Halsted St, Chicago, IL 60621 • +1-788-555-4557
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Chicago Percentiles
NPI #1629160965 • CBSA 16980 • Family Practice
Operating out of Chicago, IL (6020 S Halsted St), Family Practice clinician Dr. Lori Riley, MD (accredited MD/DO training, 1997) maintains a upper-quartile active clinical volume (87.43th Chicago percentile) (86.45th IL percentile; Z-score +0.02σ across 3,521 documented services) with sub-specialty concentration in 26 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1629160965 highlights 1479 annual claims for 99214 (87.43th Chicago percentile; $691–$946 self-pay corridor) plus 1092 encounters under 99213 and 423 under G0439.
Direct cash-pay transparency modeling sets Dr. Riley's baseline new-consult rate near $222.00 in Chicago, IL (cash-pay accepted, hybrid in-clinic and telehealth video consults, 16-minute average reception wait).
Clinical background for Dr. Riley (MD, NPI #1629160965) includes accredited doctoral training (1997, 29 yrs in practice) and virtual + in-office availability across IL.
Compared against Chicago, IL Family Practice peers
3,521 annual services across 105 beneficiaries
Standard deviations from IL Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 1,479 | 87.43th | $691 – $946 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 1,092 | 90.43th | $528 – $724 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 423 | 83.43th | $793 – $1086 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 317 | 84.43th | $150 – $206 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 211 | 82.43th | $949 – $1300 |
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Dr. Lori Riley, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Riley National Provider Identifier | NPI #1629160965 (MD) | CMS NPPES Registry (60621) |
| Dr. Riley Chicago CMS Volume Rank | 87.43th Pct (3,521 CMS svcs; Z +0.017σ) | CMS Medicare Part B (IL Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Chicago, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 16 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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