Dr. Carl Lee, MD
19 Wolf Creek DR, Dept Otolaryngology, Swansea, IL 62226 • +1-332-555-1214
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Swansea Percentiles
NPI #1649273319 • CBSA Regional • Otolaryngology
Dr. Carl Lee, MD (NPI #1649273319) practices Otolaryngology in Swansea, IL (62226) with sub-specialty concentration in 61 Active CMS HCPCS Codes, recording 1,463 annual CMS services across 523 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Swansea percentile) (-0.21σ vs IL state mean, 53.19th statewide percentile).
Medicare Part B line-item claims for Dr. Carl Lee (62226) place 99213 at the top of the practice ledger (497 yearly units, 12th metro rank), rounded out by 31231 and 31575.
At 19 Wolf Creek DR, Dept Otolaryngology (62226), Dr. Carl Lee, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$218.00 per new consult (4.74/5 bedside rating).
Clinical background for Dr. Lee (MD, NPI #1649273319) includes accredited doctoral training (1992, 34 yrs in practice) and dedicated on-site consultations at 19 Wolf Creek DR, Dept Otolaryngology.
Compared against Swansea, IL Otolaryngology peers
1,463 annual services across 523 beneficiaries
Standard deviations from IL Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 497 | 12th | $178 – $244 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 366 | 12th | $358 – $490 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 278 | 12th | $261 – $358 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 190 | 12th | $126 – $172 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 132 | 12th | $112 – $154 |
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Dr. Carl Lee, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lee National Provider Identifier | NPI #1649273319 (MD) | CMS NPPES Registry (62226) |
| Dr. Lee Swansea CMS Volume Rank | 0.00th Pct (1,463 CMS svcs; Z -0.212σ) | CMS Medicare Part B (IL Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Swansea, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 11 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.88/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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