Dr. John Lilley, MD
2500 Blue Ridge Rd Ste 417, Raleigh, NC 27607 • +1-828-555-9510
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Raleigh Percentiles
NPI #1548444003 • CBSA Regional • Emergency Medicine
CMS Medicare Part B utilization records credit Dr. John Lilley (MD, NPI 1548444003) at 2500 Blue Ridge Rd Ste 417 in Raleigh with 931 annual clinical services (491 beneficiaries), corresponding to a -0.07σ regional deviation and upper-quartile active clinical volume (80.77th Raleigh percentile) with sub-specialty concentration in 23 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1548444003 highlights 419 annual claims for 99214 (80.77th Raleigh percentile; $142–$195 self-pay corridor) plus 242 encounters under 99213 and 121 under 93000.
Direct cash-pay transparency modeling sets Dr. Lilley's baseline new-consult rate near $209.00 in Raleigh, NC (cash-pay accepted, hybrid in-clinic and telehealth video consults, 18-minute average reception wait).
NPI registry verification (#1548444003) confirms Dr. John Lilley's MD standing serving CBSA 27607 with a 4.85/5 patient scorecard.
Compared against Raleigh, NC Emergency Medicine peers
931 annual services across 491 beneficiaries
Standard deviations from NC 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 | 419 | 80.77th | $142 – $195 |
| 99213 | Established Preventive & Chronic Care Visit | 242 | 78.77th | $109 – $149 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 121 | 83.77th | $52 – $71 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 93 | 85.77th | $167 – $229 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 56 | 81.77th | $198 – $271 |
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Dr. John Lilley, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lilley National Provider Identifier | NPI #1548444003 (MD) | CMS NPPES Registry (27607) |
| Dr. Lilley Raleigh CMS Volume Rank | 80.77th Pct (931 CMS svcs; Z -0.075σ) | CMS Medicare Part B (NC Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Raleigh, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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