Dr. Lilly Wagner, MD
200 1st St Sw, Rochester, MN 55905 • +1-236-555-6296
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Rochester Percentiles
NPI #1982990057 • CBSA Regional • Ophthalmology
Within the Rochester, MN (CBSA local) Ophthalmology cohort, Dr. Lilly Wagner, MD with sub-specialty concentration in 68 Active CMS HCPCS Codes ranks at the 15.38th municipal percentile and 13.86th MN percentile (-0.31σ Z-score) based on 959 billed procedures for 209 patients.
Medicare Part B line-item claims for Dr. Lilly Wagner (55905) place 92014 at the top of the practice ledger (355 yearly units, 15.38th metro rank), rounded out by 92134 and 92083.
Self-pay new patient consultations with Dr. Wagner (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 19-minute average reception wait, and a 4.88/5 modern protocol openness score across 21 patient logs.
Spanning 25 years of clinical practice following 2001 graduation from medical training, Dr. Lilly Wagner integrates 68 Active CMS HCPCS Codes diagnostics for Rochester metro patients.
Compared against Rochester, MN Ophthalmology peers
959 annual services across 209 beneficiaries
Standard deviations from MN Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 355 | 15.38th | $222 – $304 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 249 | 17.38th | $122 – $167 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 163 | 20.38th | $147 – $201 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 115 | 18.38th | $267 – $366 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 77 | 13.38th | $977 – $1339 |
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Dr. Lilly Wagner, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wagner National Provider Identifier | NPI #1982990057 (MD) | CMS NPPES Registry (55905) |
| Dr. Wagner Rochester CMS Volume Rank | 15.38th Pct (959 CMS svcs; Z -0.313σ) | CMS Medicare Part B (MN Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Rochester, MN) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.88/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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