Dr. Melanie Stearns, MD
26w171 Roosevelt Rd, Wheaton, IL 60187 • +1-534-555-2072
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Wheaton Percentiles
NPI #1639531718 • CBSA Regional • Physical Medicine and Rehabilitation
Operating out of Wheaton, IL (26w171 Roosevelt Rd), Physical Medicine and Rehabilitation clinician Dr. Melanie Stearns, MD (accredited MD/DO training, 1993) maintains a upper-quartile active clinical volume (78.57th Wheaton percentile) (94.54th IL percentile; Z-score +0.52σ across 21,614 documented services) with sub-specialty concentration in 30 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Melanie Stearns (60187) place 99214 at the top of the practice ledger (528 yearly units, 78.57th metro rank), rounded out by 99213 and 93000.
Direct cash-pay transparency modeling sets Dr. Stearns's baseline new-consult rate near $218.00 in Wheaton, IL (cash-pay accepted, hybrid in-clinic and telehealth video consults, 10-minute average reception wait).
Credentialed as an MD specialist with 33 years post-graduation experience since completing medical school at an LCME/COCA institution (1993), Dr. Stearns coordinates 30 Active CMS HCPCS Codes workups from 26w171 Roosevelt Rd (+1-534-555-2072).
Compared against Wheaton, IL Physical Medicine and Rehabilitation peers
21,614 annual services across 302 beneficiaries
Standard deviations from IL Physical Medicine and Rehabilitation 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 | 528 | 78.57th | $45 – $62 |
| 99213 | Established Preventive & Chronic Care Visit | 305 | 76.57th | $35 – $50 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 153 | 74.57th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 117 | 75.57th | $53 – $73 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 70 | 75.57th | $63 – $86 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (30 HCPCS billing breadth) | 20,440 | 78.57th | $45 – $65 |
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Dr. Melanie Stearns, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Stearns National Provider Identifier | NPI #1639531718 (MD) | CMS NPPES Registry (60187) |
| Dr. Stearns Wheaton CMS Volume Rank | 78.57th Pct (21,614 CMS svcs; Z +0.518σ) | CMS Medicare Part B (IL Physical Medicine and Rehabilitation) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Wheaton, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 10 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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