Dr. Albert Abalos, MD
155 E Brush Hill Rd, Elmhurst, IL 60126 • +1-677-555-5030
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Elmhurst Percentiles
NPI #1881983484 • CBSA Regional • Emergency Medicine
Dr. Albert Abalos, MD (NPI #1881983484) practices Emergency Medicine in Elmhurst, IL (60126) with sub-specialty concentration in 23 Active CMS HCPCS Codes, recording 891 annual CMS services across 546 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (8.33th Elmhurst percentile) (-0.10σ vs IL state mean, 57.91th statewide percentile).
Fee-schedule auditing of NPI 1881983484 highlights 401 annual claims for 99214 (12th Elmhurst percentile; $183–$251 self-pay corridor) plus 232 encounters under 99213 and 116 under 93000.
Cash-pay intake data for NPI 1881983484 (155 E Brush Hill Rd, Elmhurst) indicates $218.00 typical out-of-pocket visit spend against a $218.00 locality benchmark, paired with 11-minute average reception wait and 4.83/5 biomarker openness.
NPI registry verification (#1881983484) confirms Dr. Albert Abalos's MD standing serving CBSA 60126 with a 4.86/5 patient scorecard.
Compared against Elmhurst, IL Emergency Medicine peers
891 annual services across 546 beneficiaries
Standard deviations from IL 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 | 12th | $183 – $251 |
| 99213 | Established Preventive & Chronic Care Visit | 232 | 12th | $140 – $192 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 116 | 12.33th | $67 – $92 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 89 | 12th | $215 – $295 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 53 | 12th | $255 – $349 |
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Dr. Albert Abalos, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Abalos National Provider Identifier | NPI #1881983484 (MD) | CMS NPPES Registry (60126) |
| Dr. Abalos Elmhurst CMS Volume Rank | 8.33th Pct (891 CMS svcs; Z -0.105σ) | CMS Medicare Part B (IL Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Elmhurst, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 11 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.83/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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