Dr. Sean Ly, DO
911 Bypass Rd Bldg A, Pikeville, KY 41501 • +1-617-555-8154
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Pikeville Percentiles
NPI #1093330151 • CBSA Regional • Family Practice
Statistical peer benchmarking across KY Family Practice providers positions Dr. Sean Ly, DO in Pikeville at -0.53σ (16.67th city percentile / 4.37th state percentile, 232 Medicare beneficiaries), with clinical focus spanning 8 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 911 Bypass Rd Bldg A shows Dr. Sean Ly's primary concentration in Comprehensive Primary Care & Chronic Protocol Management (code 99214: 277x/yr, 16.67th local percentile) alongside Focused Acute & Preventive Primary Care Evaluation (99213: 205x/yr, $99–$136).
Uninsured and high-deductible cash patients visiting Dr. Sean Ly in Pikeville (41501) face an estimated $209.00 initial evaluation fee at 911 Bypass Rd Bldg A (hybrid in-clinic and telehealth video consults; 21-minute average reception wait; bedside manner 4.91/5 from 7 verified reports).
From 911 Bypass Rd Bldg A in Pikeville (+1-617-555-8154), Dr. Ly, DO (15-year clinical track record) delivers 8 Active CMS HCPCS Codes care.
Compared against Pikeville, KY Family Practice peers
660 annual services across 232 beneficiaries
Standard deviations from KY 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 | 277 | 16.67th | $130 – $178 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 205 | 12th | $99 – $136 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 79 | 13.67th | $149 – $204 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 59 | 18.67th | $28 – $43 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 40 | 19.67th | $178 – $245 |
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Dr. Sean Ly, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ly National Provider Identifier | NPI #1093330151 (DO) | CMS NPPES Registry (41501) |
| Dr. Ly Pikeville CMS Volume Rank | 16.67th Pct (660 CMS svcs; Z -0.534σ) | CMS Medicare Part B (KY Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pikeville, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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