Dr. Elaine Spirakes, MD
454 E Roosevelt Rd, Lombard, IL 60148 • +1-931-555-5384
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Lombard Percentiles
NPI #1164528253 • CBSA Regional • Internal Medicine
Within the Lombard, IL (CBSA local) Internal Medicine cohort, Dr. Elaine Spirakes, MD with sub-specialty concentration in 42 Active CMS HCPCS Codes ranks at the 21.05th municipal percentile and 40.04th IL percentile (-0.19σ Z-score) based on 1,153 billed procedures for 345 patients.
Fee-schedule auditing of NPI 1164528253 highlights 500 annual claims for 99214 (21.05th Lombard percentile; $175–$240 self-pay corridor) plus 289 encounters under 99213 and 145 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Elaine Spirakes in Lombard (60148) face an estimated $218.00 initial evaluation fee at 454 E Roosevelt Rd (hybrid in-clinic and telehealth video consults; 15-minute average reception wait; bedside manner 4.78/5 from 23 verified reports).
Clinical background for Dr. Spirakes (MD, NPI #1164528253) includes accredited doctoral training (2015, 11 yrs in practice) and virtual + in-office availability across IL.
Compared against Lombard, IL Internal Medicine peers
1,153 annual services across 345 beneficiaries
Standard deviations from IL Internal 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 | 500 | 21.05th | $175 – $240 |
| 99213 | Established Preventive & Chronic Care Visit | 289 | 25.05th | $134 – $183 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 145 | 21.05th | $64 – $87 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 111 | 20.05th | $205 – $281 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 67 | 21.05th | $243 – $333 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (42 HCPCS billing breadth) | 41 | 21.05th | $158 – $229 |
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Dr. Elaine Spirakes, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spirakes National Provider Identifier | NPI #1164528253 (MD) | CMS NPPES Registry (60148) |
| Dr. Spirakes Lombard CMS Volume Rank | 21.05th Pct (1,153 CMS svcs; Z -0.187σ) | CMS Medicare Part B (IL Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lombard, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 15 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.82/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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