Dr. Eleanor Smith, MD
530 Winnetka Ave, Winnetka, IL 60093 • +1-504-555-9120
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Winnetka Percentiles
NPI #1942459292 • CBSA Regional • Internal Medicine
Dr. Eleanor Smith, MD (NPI #1942459292) practices Internal Medicine in Winnetka, IL (60093) with sub-specialty concentration in 34 Active CMS HCPCS Codes, recording 1,809 annual CMS services across 384 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (10th Winnetka percentile) (-0.13σ vs IL state mean, 61.52th statewide percentile).
Fee-schedule auditing of NPI 1942459292 highlights 798 annual claims for 99214 (12th Winnetka percentile; $164–$225 self-pay corridor) plus 461 encounters under 99213 and 230 under 93000.
Self-pay new patient consultations with Dr. Smith (CPT 99204 GPCI-adjusted benchmark) estimate around $218.00 (community reported average: $218.00) with hybrid in-clinic and telehealth video consults, 10-minute average reception wait, and a 4.57/5 modern protocol openness score across 14 patient logs.
Credentialed as an MD specialist with 14 years post-graduation experience since completing medical school at an LCME/COCA institution (2012), Dr. Smith coordinates 34 Active CMS HCPCS Codes workups from 530 Winnetka Ave (+1-504-555-9120).
Compared against Winnetka, IL Internal Medicine peers
1,809 annual services across 384 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 | 798 | 12th | $164 – $225 |
| 99213 | Established Preventive & Chronic Care Visit | 461 | 12th | $125 – $172 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 230 | 12th | $60 – $82 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 177 | 12th | $192 – $264 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 106 | 15th | $228 – $312 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (34 HCPCS billing breadth) | 36 | 10th | $148 – $215 |
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Dr. Eleanor Smith, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Smith National Provider Identifier | NPI #1942459292 (MD) | CMS NPPES Registry (60093) |
| Dr. Smith Winnetka CMS Volume Rank | 10.00th Pct (1,809 CMS svcs; Z -0.130σ) | CMS Medicare Part B (IL Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Winnetka, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 10 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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