Dr. Paul Phillips, MD
1025 S 6th St, Springfield, IL 62703 • +1-493-555-2429
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Springfield Percentiles
NPI #1386850071 • CBSA Regional • Family Practice
Statistical peer benchmarking across IL Family Practice providers positions Dr. Paul Phillips, MD in Springfield at -0.10σ (37.5th city percentile / 44.66th state percentile, 325 Medicare beneficiaries), with clinical focus spanning 37 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1386850071 highlights 449 annual claims for 99214 (37.5th Springfield percentile; $115–$158 self-pay corridor) plus 331 encounters under 99213 and 128 under G0439.
Direct cash-pay transparency modeling sets Dr. Phillips's baseline new-consult rate near $218.00 in Springfield, IL (cash-pay accepted, hybrid in-clinic and telehealth video consults, 17-minute average reception wait).
Clinical background for Dr. Phillips (MD, NPI #1386850071) includes accredited doctoral training (1999, 27 yrs in practice) and virtual + in-office availability across IL.
Compared against Springfield, IL Family Practice peers
1,247 annual services across 325 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 | 449 | 37.5th | $115 – $158 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 331 | 39.5th | $88 – $121 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 128 | 41.5th | $132 – $181 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 96 | 42.5th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 64 | 37.5th | $158 – $217 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (37 HCPCS billing breadth) | 179 | 37.5th | $104 – $151 |
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Dr. Paul Phillips, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Phillips National Provider Identifier | NPI #1386850071 (MD) | CMS NPPES Registry (62703) |
| Dr. Phillips Springfield CMS Volume Rank | 37.50th Pct (1,247 CMS svcs; Z -0.103σ) | CMS Medicare Part B (IL Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Springfield, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 17 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.75/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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