Dr. Evelena Ontiveros, MD
210 W Mckinley Ave Ste 1, Decatur, IL 62526 • +1-514-555-7850
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Decatur Percentiles
NPI #1689886962 • CBSA Regional • Hematology-Oncology
Within the Decatur, IL (CBSA local) Hematology-Oncology cohort, Dr. Evelena Ontiveros, MD with sub-specialty concentration in 191 Active CMS HCPCS Codes ranks at the 40th municipal percentile and 84.12th IL percentile (+1.01σ Z-score) based on 182,322 billed procedures for 613 patients.
Fee-schedule auditing of NPI 1689886962 highlights 5471 annual claims for 99214 (40th Decatur percentile; $45–$62 self-pay corridor) plus 3161 encounters under 99213 and 1581 under 93000.
Direct cash-pay transparency modeling sets Dr. Ontiveros's baseline new-consult rate near $218.00 in Decatur, IL (cash-pay accepted, hybrid in-clinic and telehealth video consults, 16-minute average reception wait).
Clinical background for Dr. Ontiveros (MD, NPI #1689886962) includes accredited doctoral training (2008, 18 yrs in practice) and virtual + in-office availability across IL.
Compared against Decatur, IL Hematology-Oncology peers
182,322 annual services across 613 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 | 5,471 | 40th | $45 – $62 |
| 99213 | Established Preventive & Chronic Care Visit | 3,161 | 43th | $35 – $50 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 1,581 | 43th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 1,216 | 36th | $53 – $73 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 729 | 39th | $63 – $86 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (191 HCPCS billing breadth) | 170,164 | 40th | $45 – $65 |
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Dr. Evelena Ontiveros, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ontiveros National Provider Identifier | NPI #1689886962 (MD) | CMS NPPES Registry (62526) |
| Dr. Ontiveros Decatur CMS Volume Rank | 40.00th Pct (182,322 CMS svcs; Z +1.010σ) | CMS Medicare Part B (IL Hematology-Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Decatur, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 16 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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