Dr. Valerie Nelson, MD
251 E Huron St, Chicago, IL 60611 • +1-630-555-1719
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Chicago Percentiles
NPI #1215183934 • CBSA 16980 • Hematology-Oncology
Within the Chicago, IL (CBSA 16980) Hematology-Oncology cohort, Dr. Valerie Nelson, MD with sub-specialty concentration in 23 Active CMS HCPCS Codes ranks at the 34.48th municipal percentile and 45.13th IL percentile (-0.65σ Z-score) based on 2,960 billed procedures for 565 patients.
Among 5 tracked CMS fee-schedule codes for Dr. Nelson (averaging 5.2 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (1332 encounters), paired with 99213 (770x).
Self-pay new patient consultations with Dr. Nelson (CPT 99204 GPCI-adjusted benchmark) estimate around $222.00 (community reported average: $222.00) with in-person clinic visits only, 21-minute average reception wait, and a 4.55/5 modern protocol openness score across 21 patient logs.
Clinical background for Dr. Nelson (MD, NPI #1215183934) includes accredited doctoral training (1998, 28 yrs in practice) and dedicated on-site consultations at 251 E Huron St.
Compared against Chicago, IL Hematology-Oncology peers
2,960 annual services across 565 beneficiaries
Standard deviations from IL Hematology-Oncology 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 | 1,332 | 34.48th | $131 – $179 |
| 99213 | Established Preventive & Chronic Care Visit | 770 | 36.48th | $100 – $137 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 385 | 37.48th | $48 – $65 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 296 | 39.48th | $153 – $210 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 178 | 29.48th | $182 – $249 |
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Dr. Valerie Nelson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nelson National Provider Identifier | NPI #1215183934 (MD) | CMS NPPES Registry (60611) |
| Dr. Nelson Chicago CMS Volume Rank | 34.48th Pct (2,960 CMS svcs; Z -0.652σ) | CMS Medicare Part B (IL Hematology-Oncology) |
| 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 • 21 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.55/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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