Dr. James Sullivan, MD
60 Hospital Rd, Umass Memorial Health Alliance Clinton Hospital, Leominster, MA 01453 • +1-643-555-7788
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Leominster Percentiles
NPI #1730161308 • CBSA Regional • Emergency Medicine
Within the Leominster, MA (CBSA local) Emergency Medicine cohort, Dr. James Sullivan, MD with sub-specialty concentration in 58 Active CMS HCPCS Codes ranks at the 75th municipal percentile and 99.67th MA percentile (+8.09σ Z-score) based on 14,966 billed procedures for 451 patients.
Procedural volume for Dr. Sullivan is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 387 annual services, $47–$64 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 224/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 112/yr).
Direct cash-pay transparency modeling sets Dr. Sullivan's baseline new-consult rate near $224.00 in Leominster, MA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 22-minute average reception wait).
NPI registry verification (#1730161308) confirms Dr. James Sullivan's MD standing serving CBSA 01453 with a 4.69/5 patient scorecard.
Compared against Leominster, MA Emergency Medicine peers
14,966 annual services across 451 beneficiaries
Standard deviations from MA Emergency 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 | 387 | 75th | $47 – $64 |
| 99213 | Established Preventive & Chronic Care Visit | 224 | 72th | $36 – $51 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 112 | 79th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 86 | 70th | $55 – $75 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 52 | 73th | $65 – $89 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (58 HCPCS billing breadth) | 14,105 | 75th | $45 – $65 |
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Dr. James Sullivan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sullivan National Provider Identifier | NPI #1730161308 (MD) | CMS NPPES Registry (01453) |
| Dr. Sullivan Leominster CMS Volume Rank | 75.00th Pct (14,966 CMS svcs; Z +8.091σ) | CMS Medicare Part B (MA Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Leominster, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 22 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.56/5 Listening • 4.73/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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