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Emergency Medicine • Worcester, MA 01655 • NPI #1164682415

Dr. Susan Ly, MD

55 Lake Ave N, Department of Emergency Medicine, Worcester, MA 01655 • +1-746-555-2680

Medical Education: Accredited U.S. Medical School (Class of 2005)

28 Active CMS HCPCS Codes
4.80/5
Waiting-Room Score
19 patient logs
$224.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Worcester Percentiles

NPI #1164682415 • CBSA Regional • Emergency Medicine

Dr. Susan Ly DotMD Verification Badge

CMS Medicare Part B utilization records credit Dr. Susan Ly (MD, NPI 1164682415) at 55 Lake Ave N, Department of Emergency Medicine in Worcester with 738 annual clinical services (639 beneficiaries), corresponding to a -0.34σ regional deviation and mid-cohort balanced caseload (42.86th Worcester percentile) with sub-specialty concentration in 28 Active CMS HCPCS Codes.

Granular CPT/HCPCS billing distribution at 55 Lake Ave N, Department of Emergency Medicine shows Dr. Susan Ly's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 332x/yr, 42.86th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 192x/yr, $211–$289).

Uninsured and high-deductible cash patients visiting Dr. Susan Ly in Worcester (01655) face an estimated $224.00 initial evaluation fee at 55 Lake Ave N, Department of Emergency Medicine (hybrid in-clinic and telehealth video consults; 9-minute average reception wait; bedside manner 4.69/5 from 19 verified reports).

Patients evaluating Dr. Susan Ly in ZIP 01655 note 21 years of post-doctoral tenure (null, 2005) alongside 1.2 annual CMS procedures per patient.

Worcester Percentile 42.86th

Compared against Worcester, MA Emergency Medicine peers

MA State Percentile 24.75th

738 annual services across 639 beneficiaries

Regional Volume Z-Score -0.339σ

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 332 42.86th $276 – $378
99213 Established Preventive & Chronic Care Visit 192 40.86th $211 – $289
93000 In-Office 12-Lead Resting Electrocardiogram 96 47.86th $101 – $138
G0439 Annual Preventive Wellness & Cardiometabolic Risk Assessment 74 47.86th $324 – $443
99204 Comprehensive New Patient Internal Medicine Diagnostic Visit 44 46.86th $384 – $526
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Dr. Susan Ly, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Ly National Provider Identifier NPI #1164682415 (MD) CMS NPPES Registry (01655)
Dr. Ly Worcester CMS Volume Rank 42.86th Pct (738 CMS svcs; Z -0.339σ) CMS Medicare Part B (MA Emergency Medicine)
Fair Cash-Pay New-Patient Benchmark $224.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Worcester, MA)
Waiting-Room Wait Time & Cash Friendliness $224.00 avg paid • 9 min lobby wait 19 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.69/5 Listening • 4.72/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
9 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $224.00
Listens Without Rushing
4.69/5
Patient communication rating
Modern Protocol Openness
4.72/5
Preventive labs, GLP-1s & HRT
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